Clinical presentation: a 52-year-old woman was referred for evaluation of a nodular goiter which was known for more than 15 years. Scintigraphy was performed for 13 years and disclosed two "cold" nodules in the right lobe while a "warm" nodule in the left thyroid. The patient had occasionally 'lump in the throat' feeling.

Palpation: both lobes were nodular on palpation. None of the nodules were suspicious.

Ultrasonography. The thyroid was echonormal and contained numerous nodules with different echogenicity.

Cytology was performed from two lesions located in the right lobe and resulted in benign colloid goiter and in benign cystic-colloid goiter, nodule in the middle-dorsal part and in the lower pole, respectively.

Functional state: euthyroidism with subnormal TSH - TSH 0.24 mIU/L, FT4 14.8 pM/L.

Suggestion: follow-up examination in a year.

 

 

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