Hashimoto thyroiditis

Case contributed by Ammar Ashraf

Presentation

Known case of hypothyroidism with neck swelling associated with dysphagia and dyspnea for four years.

Patient Data

Age: 55 years
Gender: Female
ultrasound

Average size hypoechoic thyroid gland with coarse, heterogeneous parenchymal echotexture and pseudonodular appearance (pseudonodular or giraffe pattern).  A hyperechoic nodule measuring 4 x 4 mm and a calcified nodule measuring 3 x 3 mm are seen in the right thyroid lobe. A well-defined hyperechoic nodule measuring 14 x 25 mm is seen in the left thyroid lobe. Increased vascularity is seen in the left thyroid lobe nodule on color Doppler ultrasound examination.   

Photo

Reports of FNAC (Fine needle aspiration cytology) of the left thyroid nodule and left thyroid lobectomy.

Case Discussion

The patient underwent FNAC of the left thyroid nodule followed by the left thyroid lobectomy and histopathology showed Hashimoto's thyroiditis.

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