Differentiation of discrete lesions - case 1750 (ultrasonographic picture 2)

doi: 10.24390/thyrocase1750ln.02

Upper part of the right lobe, longitudinal scan. It is worth noticing this pattern: the thyroid presents pronounced fibrosis. The fibrotic vessels are presented as bright punctate granules or white lines depending on the angle between ultrasound and the fibrotic bundle. The misinterpretation of the former as microcalcification is not a rare situation. It had no negative consequence in this patient while in the case of a nodule it might have.