December 19, 2024 Type 1 Webinar: Joint discussion with Cosimo Durante and Gilles Russ
Case 475
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Clinical data
Clinical presentation: A 61-yr-old woman was referred for evaluation of a nodule. She has been treated for hypothyroidism for 5 years. Recently, on carotid Doppler examination - performed because of dizziness - a TIRADS 4 thyroid nodule was detected.
Palpation: Both lobes were firm.
Laboratory tests: TSH 3.09 mIU/L on daily 50 microgram levothyroxine.
The size of the nodule was 12x11x15 mm, width, depth, length, respectively.
Additional information. The grey-scale values were as follows: 62.8 and 52.3, the nodule and the extranodular parenchyma. The grey scale value of a healthy, normal thyroid is usually around 85. We present the gray scale value of the next healthy patient who has been examined just after the patient - the grey-scale value of this thyroid was 84.2. Higher a grey-scale value more echogenic the tissue, and conversely lower the value, lower the echogenicity.
Additional help. For reading the summary of the suggestions of the EU-TIRADS click here.
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