PAPILLON COURSE on THYROID ULTRASOUND

Section 3 Non-nodular thyroid diseases

Part 1 Lymphocytic thyroiditis

Case studies

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Pattern
Differentiation between discrete lesion and pathological nodule

Differential diagnostic problem caused by the presence of suspicious ultrasound signs

Specialty
Atrophy of the thyroid
Not a problem
Not present
 
Diffuse hypoechogenicity
No discrete lesions
   
Diffuse hypoechogenicity
Not a problem
Not present
Post partum thyroiditis
Case 882
Diffuse hypoechogenicity
Can be problematic
Coexistent papillary cancer
Diffuse hypoechogenicity
Can be problematic
Microcalcifications
Papillary cancer in Hashimoto's thyroiditis
Diffuse hypoechogenicity
Very problematic
Microcalcifications
Case 512
Focal and diffuse
Can be problematic
 
Ambiguous pattern
Very problematic
Irregular margins
Role of follow-up
 
Other
Differentiation between discrete lesion and pathological nodule

Differential diagnostic problem caused by the presence of suspicious ultrasound signs

Specialty
Case 651
Focal form
Can be problematic
 
Focal form
Very problematic
Irregular borders, nonparallel orientation
Focal form
Relatively easy
Coexistent nodular goiter
Focal form
Can be problematic
Focal form
Relatively easy
Focal form
Not a problem
Change of the pattern after delivery
Focal form
Can be problematic
Issue of microcalcifications
The importance of archiving of a study
Case 1137
Focal form
Very problematic
Nonparallel orientation, punctate echogenic foci
Differentiation from subacute thyroiditis
Case 1365
Focal form
Very problematic
   
Case 41
Focal form
Can be problematic
 
Coexistent hyperplastic nodule
Case 469
Focal form
Can be problematic
 
Coexistent papillary cancer
Focal form
Not a problem
Change in the pattern over 18 months
Case 195
Focal form
Very problematic
Microcalcifications
No nodule on histopathology
 
Other
Differentiation between discrete lesion and pathological nodule

Differential diagnostic problem caused by the presence of suspicious ultrasound signs

Specialty
Not a typical presentation of focal form
Very problematic
Irregular borders
 
Case 200
Either focal form or central hypoechoic area-type pattern
Relatively easy
   
Case 1440
Focal form
Very problematic
Coexistent papillary cancer
Distinction between a true nodule and central hypoechoic-type pattern of thyroiditis
Central hypoechoic area
Can be problematic
Irregular, puzzle-like borders
 
Case 259
Central hypoechoic area
Can be problematic
   
       
Case 609
Micronodular presentation
Very problematic
 
Micronodular presentation
Can be problematic
Micronodular presentation
Very problematic
Micronodular presentation
Very problematic
Honeycombing pattern
Can be problematic
Honeycombing pattern
Can be problematic

 

 

 

 

 

 

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