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 793
Clinical data: A 39-year-old woman was referred for aspiration cytology of a recurrent nodular goiter. She has been undergone a left lobectomy for 4 years because of a large cystic nodule. Histopathology disclosed Hashimoto's thyroiditis and no nodules in a pathological sense. Two years later thyroid associated orbitopathy has developed which caused diplopia and continuous conjunctivitis despite various treatments including large dose steroid therapy. The ophthalmologist suggested removal of the right thyroid.
Palpation: The right lobe was firm and had an uneven surface.
Laboratory data: TSH 0.39 mIU/L on daily 87.5 microgram levothyroxine. TSAb was 2.9 U/L (normal value < 1.5).
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