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 95 - 1

Clinical data: A 34-yr-old woman was referred for evaluation of a nodular goiter discovered on ultrasound examination. She had been suffered from mild neck discomfort in the right side of the neck and from subfebrility for 5 weeks when she visited her GP. Three days later at the time of ultrasound examination her complaints were ceased. A suspicious nodule having blurred borders and microcalcifications was described in the left lobe. We met the patient another week later when. At this time, her left thyroid region was tender, and she had again subfebrility.

Palpation: Both lobes were hard, and the left was painful on palpation.

Laboratory data: TSH 4.08 mIU/L, aTP0 447 U/mL, CRP 28.3 mg/L (normal value < 5). 

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