COURSE on THYROID ULTRASOUND

Section 4 Non-thyroidal elements in the anterior neck region

Part 2 Neck lymph nodes

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Lymph nodes - case conp 025

Clinical data: A 66-yr-old woman underwent total thyroidectomy and radio-iodine therapy 6 years ago. Thereafter, she was managed in another hospital. The thyroglobulin level was between 2.9 and 5.5 ug/L in the previous years without any tendency. On the last visit a rise in the thyroglobulin level was detected (10.2 ug/L).

Palpation: a firm mass in the left thyroid bed.

Laboratory data: mild hyperthyroidism on daily 150 microgram levothyroxine with TSH 0.03 mIU/L, FT4 28.2 pM/L.

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