COURSE on THYROID ULTRASOUND

Section 2 The nodular goiter

Part 4 Intranodular echogenic figures

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Echogenic figures - case 928

Clinical data: An 85-year-old woman was referred for evaluation of a nodular goiter has been known for decades. The patient had already difficulties in swallowing for several years. CT scan disclosed substernal spread of the right thyroid. The trachea was narrowed to half. There were multiple nodules with normal uptake on scintigraphy.

Palpation: a multinodular goiter in the right lobe.

Laboratory data: euthyroidism with TSH 0.31 mIU/L, FT4 15.9 pm/l, FT3 4,63 pM/L.

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