COURSE on THYROID ULTRASOUND

Section 6 Advanced courses

Part 2 The operated thyroid

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Operated thyroid - case 425

Clinical data: An 81-year-old woman has been followed-up for decades. She underwent thyroid surgery at the age of 15 years. I first met her 31 years ago when I felt a 4.5 cm nodule in the right lobe and a 2 cm nodule in the left; I hadn't done an ultrasound yet at that time. Twenty-five years ago, when I first made ultrasound, I described a 38x30x41 mm nodule in the right lobe and two lesion in the left lobe, the dimensions of the larger were 16x10x17 mm. Five years before the present examination, a CT scan was performed for pulmonary reasons. A minimal degree of compression was described. The patient has recently experienced dyspnea, mainly on load.

Palpation: There were not firm nodules in both lobes.

Laboratory data: TSH 1.94 mIU/L.

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