A child of 15 years old turned to the pediatrician with complaints about episodes of a feeling of cold in hands and weakness. Pediatrician directed child to examination including the endocrinologist. The endocrinologist has appointed the US of thyroid.
At ultrasound in the left lobe of the thyroid gland there is a complex cystic lesion with hyperechoic microinclusions giving the artifact of the comet' s tail (microcalcinates?), at CFM is richly supplied by blood, about 13x8 mm in size, with a width greater than height shape (cr?)
In one view with the thyroid lesion, lateral to the main vessels of the neck (CCA, IJV), 2 predominantly hyperechogenic lesions up to 4 mm are visualized in the projection of the muscle tissue, giving an acoustic shadow, at CFM without blood flow (mts?)
Received the information that in the profile institution was made an ultrasound, they said that most likely the node is benign, but just in case they will make a puncture.
As for mts, I myself was not sure, maybe that' s just looked like a lesion a part of the transverse process of the vertebra (tuberculum caroticum), but in such cases there is no oversafe.
I understand the logic of colleagues, they notice that this node is not fully solid, but partially solid and cystic, and in such nodes the risk of cancer is much lower, but the suspicion by ultrasound for microcalcinates in any case requires puncture ...
