Clinical presentation: a 78-year old woman was referred for an evaluation of a nodule discovered by cardiological examination.

Palpation: a firm nodule in the left lobe.

Hormonal examination indicated euthyroidism with TSH 1.02 mIU/L.

Ultrasonography revealed a solitary hypoechogenic nodule in the left lobe with eggshell calcification and a type 3 vascular pattern.

FNAC report was follicular tumor with greater than the average risk of malignancy.

Histopathology disclosed minimally invasive follicular cancer.

 

 

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