Presentation
Known case of hypothyroidism, presented with hoarseness of voice and a palpable nodule in the left thyroid lobe.
Patient Data
Average size thyroid gland with diffusely heterogeneous parenchymal echotexture; right thyroid lobe measures 1.2 x 1.4 x 4.0 cm and left lobe measures 1.3 x 1.5 x 4.3 cm. Isthmus measures 2.4 mm. Mildly increased vascularity is seen in both thyroid lobes on the Doppler ultrasound examination. A small well-defined hyperechoic nodule measuring 6 x 7 mm is seen in the left thyroid lobe. No other obvious focal solid or cystic nodule is appreciable in either thyroid lobe.
Histopathology report of the ultrasound guided fine needle aspiration cytology (FNAC) of the left thyroid lobe nodule.
Case Discussion
Average size thyroid gland with diffusely heterogenous parenchymal echotexture, suggestive of thyroiditis (likely Hashimoto's thyroiditis). Small well-defined hyperechoic nodule in the left lobe, which is of low suspicion for malignancy according to the ATA guidelines for assessment of thyroid nodules. US-guided FNAC of this nodule showed Hashimoto's thyroiditis.
Unable to process the form. Check for errors and try again.