Clinical data. A 40-year-old woman requested evaluation of complaints suggesting hypothyroidism. She was known having a goiter for 10 years, when scintigraphy was performed. No thyroid investigation was made in the previous years.

Palpation: no abnormality.

Hormonal evaluation indicated euthyroidism with TSH 1.96 mIU/L.

Ultrasonography: The thyroid was echonormal. A small hypoechogenic nodule was found in the upper pole of the right lobe. The lesion displayed blurred borders and presented the so-called taller-thanwide sign.

Aspiration cytology: suspicion of papillary carcinoma.

Histopathology disclosed two focuses of papillary carcinoma with a maximal diameter of 7 and 1.5 mm, right and left lobe, respectively.

Comment. The video records are very edifying. On first attempt, we started the horizontal scanning in the upper part of the thyroid and not above the upper pole. Therefore, we missed the small nodule located in the upper pole. By chance we made the longitudinal scanning correctly and detected the lesion.