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 374 - part 1
Clinical data: A 34-year-old woman requested a second opinion. She had an upper airways infection 3 months ago. Six weeks later, her thyroid became painful. On evaluation, a hyperthyroidism was diagnosed and methimazole therapy has been started for 3 weeks. Although her neck complaints have decreased, she had persistent neck tenderness, occasionally pain. One week prior to the recent examination, pain appeared in the right thyroid. Her body temperature was normal as was the erythrocyte sedimentation rate and CRP, 14 mm/H and 4.1 mg/L (normal value 0-4.8), respectively.
Palpation: Both lobes were painful and hard.
Laboratory data: hyperthyroidism on daily 30 mg methimazole with TSH 0.001 mIU/L and FT4 62.5 pM/L, aTPO 2 U/mL, CRP 41.6 mg/L (normal value 0-4.8).
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