February 2019

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

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Clinical information

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?

Ultrasound Images & Clips

Two patients with palpable thyroid nodules

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

Another transverse image of the nodule

The nodule is vascularized

Another transverse color doppler image

Longitudinal image of the nodule of the first patient

Longitudinal color doppler image

This is a transverse image of another patient with a focal thyroiditis

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

Another transverse image

Longitudinal image of the nodule of the second patient

The nodule is not very vascularized

The rest of the thyroid is normal

Conclusion

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.

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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