Changes in hormonal status, changes in ultasound presentation. Table 3: The effect of normalization of elevated TSH-level - Case 59
Initial examination - hypothyroid phase
18 months later - euthyroidism on replacement therapy
Right lobe, horizontal view

Right lobe, longitudinal view

Right lobe, color Doppler mode

Left lobe, horizontal view

Left lobe, longitudinal view

Compare the two series of pictures. At the first examination (left column), the patient had hypothyroidism (TSH 11.6 mIU/L), while at the second examination (right column) the patient was already euthyroid (TSH 1.83 mIU/L). The size of the thyroid has decreased over years, the vascularization is unchanged. On the other hand, the ultrasound pattern remained the same.
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