Clinical data: A 40-year-old woman requested evaluation of complaints suggesting hypothyroidism. She was diagnosed with goiter 10 years ago, when scintigraphy disclosed no nodule. No thyroid investigation has been made since then.

Palpation: no abnormality.

Hormonal evaluation indicated euthyroidism with TSH 1.96 mIU/L.

Ultrasonography: The thyroid was echonormal. A small hypoechogenic nodule was found in the upper pole of the right lobe. The lesion displayed blurred borders, showed both taller-than-wide and taller-than-long shape.

Aspiration cytology resulted in papillary carcinoma.

Histopathology disclosed two focuses of papillary carcinoma with a maximal diameter of 7 and 1.5 mm, right and left lobe, respectively.

Comment. The video records are very edifying. On first attempt we started the transverse scanning in the upper part of the thyroid and not above the upper pole. Therefore, we missed the small nodule located in the upper pole. We performed the longitudinal scanning correctly and detected the lesion.