Chronic lymphocytic thyroiditis - Figure 1. Ultrasound patterns according to the degree of hypoechogenicity.
Diffuse hypoechogenicity is the most important sonographic sign of Hashimoto's thyroiditis. The degree of hypoechogenicity varies greatly, and correlates relatively well with aTPO level. We have to notice the hypoechogenicity in a euthyroid patient in order to consider the possibility of the underlying autoimmune thyroid disease and therefore to give the chance to recognize hypothyroidism later. |