Study on comparison of various TIRADS-systems and their elements - lesion 74 (videorecord)

doi: 10.24390/thyrosite.tirads.c074

Data

Clinical presentation. A 60-year old woman was referred for aspiration cytology. She has been treated for relapsing hyperthyroidism for 3 years. Scintigraphy showed a uniform uptake while a large nodule was found on ultrasound.

Palpation: both lobes were enlarged, no discrete nodule could be palpated.

Laboratory test: TSH 0.001 mIU/L, FT4 22.9 pM/L, FT3 4.10 pM/L, TSAb negative, aTPO 22 U/mL on daily 15 mg methimazole.

Lesion in question:

the large lesion in the lower part of the right lobe.

Additional information on the lesion

Dimensions (width x depth x length): 45x20x45 mm.

Taller-than wide sign present: absent.

Intranodular vascularization: present.

Pathologic adenopathy: absent.