Clinical presentation: A 61-year-old woman was referred for evaluation of a newly diagnosed hypothyroidism. We met the patient first 15 years ago when Hashimoto's thyroiditis was diagnosed both on ultrasound presentation and elevated aTPO level (1524 U/mL). She underwent yearly TSH test which became abnormally elevated at the last two occasions.

Palpation. No abnormality.

Laboratory test: TSH 9.01 mIU/L.

Ultrasonography. The thyroid was moderately hypoechogenic and presented several more hypoechogenic areas. There were no nodules of pathological sense.

Diagnosis: Hashimoto's thyroiditis. Hypothyroidism. Daily 50 microgram levothyroxine was adjusted.

Comment. It is worth to compare the presentation of the thyroid with that of the former patient who is the daughter of this woman.

 

 

 

 

 

 

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