An 8-year-old child came for a follow-up ultrasound of the thyroid gland regarding a nodule; there was no previous ultrasound report.
On ultrasound, 3 lesions are visualized in the right lobe: the largest in the central anterior part of the lobe, isoechoic with a hypoechoic rim, with an uneven, fuzzy contour, especially in the anterior sections, where its border with the muscles is not distinguishable; at CFM with blood flow, along the periphery hyperechoic dot inclusions are visualized (microcalcifications?), size 8x5x9mm (Tirads 5); in the posterior part of the lobe and in the area of the isthmus, hypoechoic lesions with hyperechoic dot inclusions are visualized; at CFM without blood flow, irregular in shape, with an unclear contour, the lesion in the posterior part has a predominantly oblique-vertical orientation, measuring 3x3x6 mm, and the lesion in the isthmus area measuring up to 3x2 mm (Tirads 5).
In the lateral sections of the neck, lymph nodes are visualized, larger on the right, 2 LNs up to 17 mm in size; on the left there are 2 LNs up to 11 mm, at CFM in the LNs on the right there is blood flow in the hilum area.
