First examianation (first row of images):

Clinical data: A 43-year-old woman was referred for an evaluation of a thyroid nodule detected on screening.

Palpation: a not firm nodule in the right lobe.

Laboratory examination: TSH 2.05 mIU/L.

Ultrasonography. The thyroid was echonormal. There was a nodule in the ventrolateral part of the right lobe. The lesion was composed partly of hypoechogenic, partly of echonormal areas. There was one echogenic punctate focus within. The microflow imaging revealed increased intranodular blood flow. The ventral part of the lesion was hard on elastography.

Cytological diagnosis: papillary carcinoma.

A right lobectomy was performed. Histology revealed a T1a papillary carcinoma.

One year after surgery (second row of images):

Clinical data: The patient had no complaints.

Palpation: no abnormality.

Laboratory examination: TSH 2.05 mIU/L.

Ultrasonography. The right thyroid bed was filled with muscle fiber and connective tissue. The left lobe remained unchanged.