Data
Clinical presentation: A 55-year-old woman has been known to have a multinodular goiter for six years. Total thyroidectomy was advised by another colleague. The patient requested a second opinion.
Palpation: a large multinodular goiter with a very firm nodule in the left lobe.
Laboratory test: TSH 4.94 mIU/L, aTPO 32 U/mL.
Lesion in question:
the large nodule in the left lobe.