COURSE on THYROID ULTRASOUND

Section 2 The nodular goiter

Part 4 Intranodular echogenic figures

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Echogenic figures - case 443

Clinical data: A 45-year-old woman was referred for aspiration cytology of a thyroid nodule which suddenly developed 3 weeks ago. On ultrasound examination a suspicious nodule was described with starry sky phenomenon. We have already met the patient for 14 years during her pregnancy when a healthy thyroid was found without any discrete lesions on ultrasound.

Palpation: an elastic nodule in the left lobe.

Laboratory data: euthyroidism with TSH 0.83 mIU/L.

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