Study on comparison of various TIRADS-systems and their elements - lesion 104 (videorecord)

doi: 10.24390/thyrosite.tirads.c104

Data

Clinical presentation. A 36-year-old woman was referred for evaluation of nodular goiter known for 3 years. On evaluation of progressive difficulties in swallowing, palsy of the left recurrent nerve and a nodular goiter was discovered. Aspiration cytology resulted in benign colloid goiter. On further examinations a viral infection was suspected as a cause for the complaints of the patient. Three months after the beginning of dysphagia, the complaints of the patient have resolved including recurrent nerve palsy. One year later a hypothyroidism has developed which has been treated with levothyroxine. The patient was sent to follow-up examination of the thyroid nodule.

Palpation: firm, enlarged thyroid. The presence of nodule was equivocal.

Laboratory test: TSH 0.47 mIU/L on daily 100 microgram levothyroxine.

Lesion in question:

the nodule in the dorsal part of the right lobe. Compared with the previous examiantion the thyroid became hypoechogenic while the lesion in question did not increase in size.

Additional information on the lesion

Dimensions (width x depth x length): 21x22x24 mm.

Taller-than wide sign present: present.

Intranodular vascularization: present.

Pathologic adenopathy: absent.