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Case of the Month

February 2019

Patient Data: Two patients with thyroid nodules examined for SONOZORG a primary care ultrasound facility

Clinical Info: Two middle age patients with a palpable nodule in the thyroid gland. Would you do a biopsy and what do think would be the result?


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Transverse image of the nodule of the first patient. It is hypoechoic and ill defined


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Another transverse image of the nodule


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The nodule is vascularized


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Another transverse color doppler image


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Longitudinal image of the nodule of the first patient


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Longitudinal color doppler image


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The lesion of the first patient was biopsied, because of the ill defined margins. It proved to be a focal thyroiditis and showed no signs of malignancy.This is a transverse image of another patient that also had a focal thyroiditis


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Transverse image of the nodule of the second patient that has a calcified rim


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Another transverse image


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Longitudinal image of the nodule of the second patient


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The nodule is not very vascularized


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The rest of the thyroid is normal.This nodule was also biopsied because the rim was disrupted and it also proved to be benign.

As with most thyroid lesions examined in a primary care facility, both nodules were benign. The first patient had an ill defined vascularized hypoechoic lesion that proved to be a focal thyroiditis and the second lesion with the rim like but disrupted calcifications also proved to be benign.

For more examples of thyroid lesions see

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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