Data
Clinical presentation: A 39-year-old woman requested a second opinion. She has been known having a nodular goiter since childhood. A dominantly solid nodule in the left lobe has previously been categorized as Bethesda III (atypia of unknown significance). m99Tc scan showed multiple cold nodules in both lobes.
Palpation: both lobes were nodular on palpation.
Laboratory test: TSH 0.20 mIU/L, FT4 16.7 pM/L.
Lesion in question:
the largest nodule in the upper-middle third of the right lobe.