COURSE on THYROID ULTRASOUND
Section 2 The nodular goiter
Part 3 The echogenicity of the nodule
Videolibrary
The echogenicity of the nodule - case 1401
Clinical data: A 61-year-old woman was referred for evaluation of a nodular goiter detected on CT scan which was performed on pneumonia. The patient had been treated for hypothyroidism for more than 15 years. We met the patient five years ago when she requested a second opinion after the cytological diagnosis of "oxyphilic metaplasia of unknown significance (AUS - Bethesda 3)" from two lesions, one in the dorsal part of the right and another one in the dorsal part of the left lobe. We offered a wait-and-see.
Palpation: The left lobe was palpable, it was firm. No nodules could be palpated.
Laboratory data: TSH 2.09 mIU/L on daily 75 microgram levothyroxine. The aTPO level was 885 U/mL 6 years ago.
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