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?

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
Transverse image of the nodule of the first patient. It is hypoechoic and ill defined
Another transverse image of the nodule
Another transverse image of the nodule
The nodule is vascularized
The nodule is vascularized
Another transverse color doppler image
Another transverse color doppler image
Longitudinal image of the nodule of the first patient
Longitudinal image of the nodule of the first patient
Longitudinal color doppler image
Longitudinal color doppler image
This is a transverse image of another patient with a focal thyroiditis
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
Transverse image of the nodule of the second patient WHich has a calcified rim
Another transverse image
Another transverse image
Longitudinal image of the nodule of the second patient
Longitudinal image of the nodule of the second patient
The nodule is not very vascularized
The nodule is not very vascularized
The rest of the thyroid is normal
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.

Created with

  • Hitachi Ultrasound System