Intranodular hyperechogenic figures - case 1425 |
Clinical presentation: A 64-year-old woman requested evaluation of 'lump in the throat' feeling. We examined her 8 years ago when a multinodular goiter was found, and cytology was benign.
Palpation: a multinodular the right lobe.
Functional state: euthyroidism with TSH 0.29 mIU/L, FT4 15.1 pM/L.
Ultrasonography. The thyroid was echonormal. There were two lesions in the right lobe, the upper was a minimally hypoechogenic and had bright hyperechogenic figures and non-specific granules. The lower lesion was a multi-chambered cyst with echonormal solid area. This nodule contained large linear and granular hyperechogenic figures corresponding to connective tissue. None of the nodules has increased since the first visit.
Comment.
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Although the bright hyperechogenic granules in the upper nodule might correspond to microcalcifications, the ultrasound presentation of the nodule is not suspicious.
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The thick hyperechogenic figures in the lower, the large figures correspond to relatively unusual presentations of connective tissue.