COURSE on THYROID ULTRASOUND

Section 2 The nodular goiter

Part 3 The echogenicity of the nodule

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The echogenicity of the nodule - case 2169

Clinical data: A 38-yr-old woman requested evaluation. She was treated for subacute de Quervain's thyroiditis with methylprednisolone 17 years ago. Five years later, despite normal TSH level, thyroid replacement therapy was initiated on complaints suggesting hypothyroidism. In the last 3 weeks she occasionally felt pain in the left side of the neck. Her body temperature remained normal.

Palpation: The left lobe was hard and tender on palpation.

Laboratory data: TSH 1.26 mIU/L on daily 75 microgram levothyroxine, CRP 1.5 mg/L (normal value < 5), aTPO 0.5 U/mL. 

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