Data
Clinical presentation: A 67-year-old woman was referred for evaluation of a nodular goiter which has been known for decades. The patient had already had difficulties in swallowing and has noted a deepening in her voice for a couple of years. She requested evaluation of the thyroid several years ago when an ultrasound and scintigraphy were performed. The latter disclosed a decreased uptake in the right while a normal in the left lobe.
Palpation: both lobes were enlarged and nodular on palpation.
Laboratory test: TSH 0.27 mIU/L, FT4 15.9 pM/L.
Lesion in question:
the nodule in the right lobe.