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 |