Data
Clinical presentation. First time we met the patient two years ago when
a 60-year-old hypothyroid patient was referred for an evaluation of a thyroid nodule. Cytology was performed from a hypoechogenic discrete lesion presenting hyperechogenic granules and resulted in Hashimoto's thyroiditis.
Two months prior to the present visit
the patient visited another clinic for follow-up examination. She was told harboring a suspicious nodule and aspiration cytology resulted in "suspicion of carcinoma not otherwise specified".
Palpation: a firm nodule in the left lobe.
Laboratory test: TSH 2.06 mIU/L on daily 125 microgram levothyroxine.
Lesion in question:
the nodule in the left lobe.