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COURSE on THYROID ULTRASOUND

Section 6 Advanced courses

Part 1 Large goiters

Videolibrary

Large goiters - case 1736

Clinical data: A 74-year-old woman was referred for ultrasound examination. The patient got radioiodine therapy 21 years ago. A relapsing hyperthyroidism was first noticed 5 years after the treatment. I met the patient 8 years ago when she was euthyroid on methimazole therapy, and the size of the nodule in the right lobe was 42x34x51 mm. Because the goiter caused no complaints and the patient tolerated thyrostatic therapy well, she refused to get a repeat radioiodine therapy.

Palpation: a non-firm large nodule in the right lobe.

Laboratory data: TSH 0.19 mIU/L, FT4 17.2 pM/L on daily 15 mg methimazole.

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