Differential diagnostic of hyperechogenic intranodular granules - table 25
Oxyphilic adenoma
Papillary carcinoma

There are different types of intranodular hyperechogenic figures in these cases. Both cases present fibrosis while the papillary carcinoma does microcalcifications and even coarse calcifications, as well. The proof of the latter is the acoustic shadow dorsal to the nodule.

mask