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 1790

Clinical data: A 37-year-old woman requested a second opinion. She was treated for de Quervain's thyroiditis causing pain originally in the left lobe for 3 months. After getting off steroid therapy, her complaints recurred in the right thyroid. An ultrasound was performed and a nodule was detected which was described as suspicious on the report. Surgery was advised. The patient presented pain in the right side of the neck, subfebrility and fatigue.

Palpation: Both lobes were very firm. The right thyroid was tender.

Laboratory data: TSH 0.26 mIU/L, FT4 18.2 p M/L. Erythrocyte sedimentation rate 137 mm/H, CRP 11.5 mg/L.

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