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COURSE on THYROID ULTRASOUND

Section 2 The nodular goiter

Part 4 Intranodular echogenic figures

Videolibrary

Echogenic figures - case 1343

Clinical data: A 55-year-old woman was referred for neck ultrasound and aspiration cytology of a suspicious nodule described on ultrasound examination. The patient has noticed a painless hard lump for two months in the right side of the neck. The patient was operated on fifteen years ago when histopathology disclosed an oxyphilic variant of papillary carcinoma. Total thyroidectomy was performed and the patient received external irradiation because of the lack of radioiodine uptake. The thyroglobulin level became undetectable and remained so up to these days. The anti-hTg level varied between 38 and 210 U/mL without any tendency.

Palpation: a hard mass int the right thyroid bed.

Laboratory data: euthyroidism on daily 112.5 microgram levothyroxine with TSH 0.92 mIU/L. Thyroglobulin was undetectable, anti-hTg was 54 U/mL.

For details of the case study, click here.