Consecutively operated patients with autoimmune thyroid disease - case 39 (conp 057) (ultrasonographic picture 2)

Right lobe, longitudinal scan. There are three lesions from the upper to the lower part (i.e. from left to right): a small, moderately hypoechogenic, a nodule presenting coarse calcification and a tiny hypoechogenic lesion. The upper two lesions proved to be papillary carcinoma, one with 4 and another one with 6 mm maximal diameter. The acoustic shadow is the proof for coarse calcification. Moreover, the bright granules in the ventral part of the middle lesion are microcalcifications.