Case of the month

February 2021 - case 2


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DISTRIBUTION OF ANSWERS

1. How to judge the right lobe regarding the presence of pathological nodule?

The right lobe has pathological nodule. 2
The right lobe does not have pathological nodul. 3
The presence of pathological nodule is doubtful. 4

2. How to describe the echogenicity of the thyroid?

The thyroid is echonormal and has hypoechoic areas. The echogenicity index is around 50%. 4
The thyroid is composed of minimally/moderately and deeply hypoechoic areas. 5
The thyroid is deeply hypoechoic. 0
The thyroid is iso/hyperechoic. 0

3. How to classify the echogenic lines and granules in the thyroid?

These are back wall figures caused by posterior enhancement. 3
These are presentations of connective tissue. 6
Some of them are microcalcifications. 0

4. How to describe the largest lesion in the lower pole of the left lobe?

This is an iso/hyperechoic nodule. 2
This is a minimally/moderately hypoechoic nodule? 0
Compared to the extralesional tissue, the nodule is iso/hyperechoic while compared to a healthy thyroid, the lesion should be regarded as minimally/moderately hypoechoic. 4
Irrespectively of the reference tissue, this is a dominantly iso/hyperechoic, heterogeneous nodule. 3
Irrespectively of the reference tissue, this is a dominantly minimally/moderately hypoechoic, heterogeneous nodule. 0

5. Is FNA indicated based on EU-TIRADS?

Yes. 4
No. 5
Uncertain. 0

6.Would you personally indicate FNA?

Yes. 5
No. 4

 

 

 

 

 

 

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