A 63-year-old female patient was referred for thyroid ultrasound.
In the right lobe, an an-/hypoechoic lesion up to 3 x 2 mm is visualized, with single blood flow loci on color Doppler imaging (Tirads 3-4). At the border of the left lobe and isthmus, a hypo-/isoechoic node with a hypoechoic rim (or a group of nodes nearby) is visualized, with an uneven, unclear contour, with rich blood flow on color Doppler imaging, up to 8 x 5 x 10 mm in size (Tirads 4).
Consultation of an endocrinologist and FNA of Tirads 4 node in the isthmus was recomended.
