Demographics:
46 years old, Female
Indication:
Neck tenderness
Findings
- Thyroid gland is normal in size with diffusely heterogeneous parenchymal echotexture
- Ill-defined, hypoechoic nodule in the left thyroid lobe measuring 2.2 x 1.4 x 1.3 cm with decreased internal Doppler flow
- Additional scattered tiny (< 5 mm) hypoechoic nodules in both lobes
- Subcentimeter rounded hypoechoic nodules inferior to the left thyroid lobe
Diagnosis
Subacute thyroiditis
Sample Report
Ill-defined nodule in the left thyroid lobe measuring up to 2.2 cm with decreased internal vascularity in addition to multiple additional subcentimeter nodules, which are favored to relate to subacute thyroiditis in this patient presenting with neck tenderness. Recommend follow-up ultrasound in 4-6 weeks to assess for improvement in findings.
Subcentimeter nodules inferior to the left thyroid lobe, which may represent reactive lymph nodes and can also be reassessed on follow-up imaging.
Discussion