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 99

Clinical data: A 59-year-old woman was referred for aspiration cytology of a "cold" nodule. She was first diagnosed having Hashimoto's thyroiditis 23 years ago. Recently she had complaints suggesting hyperthyroidism. On evaluation subclinical hyperthyroidism was disclosed. Scintigraphy revealed a "hot" nodule in the right and a "cold" nodule in the left lobe.

Palpation: The thyroid was not palpable.

Laboratory data: TSH 0.04 mIU/L, FT4 15.4 pM/L, FT3 3.37 pM/L, aTPO was > 3000 U/mL, TSAb 0 U/L.

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