Differentiation of discrete lesions - case p057 (ultrasonographic picture 2)

doi: 10.24390/thyrocaseconp057ln.02

Right lobe, longitudinal scan. There are three lesions from the upper to the lower part (i.e. from left to right): a moderately hypoechogenic, a nodule presenting coarse calcification and a hypoechogenic lesion. Two upper two lesions proved to be papillary carcinoma, one with 4 and another one with 6 mm maximal diameter. The acoustic shadow is the proof for coarse calcification. Moreover the bright granules in the ventral part of the middle lesion are microcalcifications.