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 2169 - part 1
Clinical data: A 38-yr-old woman requested evaluation. She was treated for subacute de Quervain's thyroiditis with methylprednisolone 17 years ago. Five years later, despite normal TSH level, thyroid replacement therapy was initiated on complaints suggesting hypothyroidism. In the last 3 weeks she occasionally felt pain in the left side of the neck. Her body temperature remained normal.
Palpation: The left lobe was hard and tender on palpation.
Laboratory data: TSH 1.26 mIU/L on daily 75 microgram levothyroxine, CRP 1.5 mg/L (normal value < 5), aTPO 0.5 U/mL.
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