COURSE on THYROID ULTRASOUND
Section 6 Advanced courses
Part 4 The relation between a discrete lesion and a pathological nodule
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Lesions vc. nodule - case 1036 - part 1
Clinical data: A 47-year-old man was referred for evaluation of complaints suggesting subacute thyroiditis. He suffered from recurrent attacks of pain in the region of the thyroid radiating to the jaws. The pain was originally located to the left side of the neck but 2 weeks before the visit, both sides of the neck were affected. He had subfebrility, occasionally fever. He got 3 courses of antibiotics without any effect. The GP initiated investigation toward lymphoma of the neck.
Palpation: Both lobes were hard and painful.
Laboratory data: TSH 0.27 mIU/L, FT4 16.7 pM/L, CRP 35.1 mg/L, ESR 41 mm/H, aTPO 10 U/mL.
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