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COURSE on THYROID ULTRASOUND

Section 6 Advanced courses

Part 1 Large goiters

Videolibrary

Large goiters - case 306

Clinical data: A 38-year-old woman came to a routine follow-up. I met her 15 month ago during the 12th week of her pregnancy. At that time a large multinodular goiter was diagnosed which caused no complaints. Cytology resulted in benign colloid goiter. A repeat ultrasound was performed at the 21st week of pregnancy when no significant change was observed. I suggested surgery after finishing of lactation. In the present study, the patient had already reported intermittent swallowing complaints.

Palpation: Both lobes and the isthmus were enlarged and nodular on palpation.

Laboratory data: TSH 0.49 mIU/L, FT4 12.8 pM/L.

For details of the case study, click here.