Clinical presentation: A 33-year-old woman was referred for evaluation of hypothyroidism and suspected nodule detected on ultrasound.

Palpation. No abnormality.

Laboratory test: TSH 1.31 mIU/L, aTPO 227 U/mL.

Ultrasonography. The thyroid was minimally hypoechogenic. The proliferation of connective tissue made a spider web-like apperance of the thyroid. Several discrete areas were found, none of them fit to a nodule in pathological sense.

 

 

 

 

 

 

 

 

 

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