COURSE on THYROID ULTRASOUND

Section 2 The nodular goiter

Part 6 The shape of the nodule

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The shape of the nodule - case 2125

Clinical data: A 48-yr-old woman was referred for evaluation of a multinodular goiter. Three weeks ago - six weeks after an upper airway infection - the left side of the neck became tender. On ultrasound examination multiple nodules were described including a TIRADS 5 category lesion in the left lobe.

Palpation: There was a soft nodule in the right lobe. The left lobe was hard and tender on palpation.

Laboratory data: TSH 0.07 mIU/L, FT4 22.9 pM/L, CRP 31 ng/mL.

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