Summary and comments
45 participants have answered the questions.
1. Does the thyroid have pathological nodule?
Distribution of answers
Choice
%
No
The RIGHT lobe has, the left lobe has not.
0 %
0
The LEFT lobe has, right lobe has not.
2.2 %
1
Both lobes have nodules.
2.2 %
1
The thyroid does not have nodules.
95.6 %
43
Expert comment
I agree with almost all responders, none of the discrete lesions correspond to pathological nodules. These are more active foci of thyroiditis.
2. Which statement is most likely to be true regarding the judgement of echogenic figures?
Distribution of answers
Choice
%
No
These are microcalcifications.
11.1%
5
These are presentations of connective tissue.
53.3%
24
These are back wall figures.
33.3%
15
These are comet-tail artifacts.
2.2%
1
Expert comment
Again, I agree with most of the participants, these figures correspond either to connective tissue or connective tissue. The distinction between these two opportunities has minimal if any relevance. In my opinion, these figures are presentations of connective tissue.
Although, the presentation of the echogenic figures can correspond to microcalcification, we must take other circumstances into account, e.g., the environment of the structure in question and in this case the fact that these echogenic figures are within the whole thyroid even outside discrete lesions.
3. Would you perform FNA?
Distribution of answers
Choice
%
No
Yes.
0 %
8
No.
0 %
37
Expert comment
I agree with the majority of the colleagues.
4. If FNA would result in Hashimoto's thyroiditis, what would you suggest?
Distribution of answers
Choice
%
No
Surgery.
0 %
1
Repeat FNA.
0 %
1
Follow-up.
0 %
43
Expert comment
I agree with the majority of responders.