JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY
PATIENT DESCRIPTIONS
This study represents a retrospective deidentified case series review and does not require informed consent. It complied with standards of the LSUHSC Institutional review board for this type of clinical communication.
Summary of the initial presentation, thyroid hormone values and ultrasound findings for each patient are included in table 1.
Table 1
Age/Race
TSH (uIU/mL)
Patient
Sex
Free T4 (ng/dL)
Ultrasound Characteristics
Multiple cysts throughout both thyroid lobes, most of them arranged at the periphery of the gland. Cysts range from 1-4 mmwith two larger cysts mea- suring 4-5 mm in each thyroid lobe. Thyroid volume =9.3- 10.1 ml Multiple cysts located at the periphery of both lobes. The largest cysts were located in the posterior inferior aspect of the left lobe of the thyroid and mea- sured 6 mm and the posterior-inferior aspect of the right thyroid lobe measur- ing 5 mm. Thyroid volume = 12.4-13.5 ml .The larger cysts have focal punctate echogenicity in their center. Multiple cysts, mostly affecting the upper and midpole of the left thyroid lobe. Lesions measured between 3 and 5 mm. Thyroid volume =7.8-8.5 ml .Some cysts have focal punctate echogenicity. Multiple cysts bilaterally, the largest measuring 5 mm in the right lobe. Some of them are arranged in a nodular pattern with interspaced solid tissue. Thyroid volume = 7.1-7.7 ml .Some cysts have focal punctate echogenicity. Multiple cysts bilaterally. The largest lesion measured 2.6 mm on the left lower pole of left thyroid lobe. Thyroid volume = 9.8-10.6 ml
#1
1.35
3.04
13 years
Male
(0.79-1.5)
(0.36-3.74)
White
#2
None
5.97
Male
14 years
*T4: 7.9 ug/dL
(0.3-4)
White
(5.6-11.7)
#3
0.9
2.45
Female
14 years, 2 months
(0.7-1.8)
(0.5-4.8)
African American
#4
1.1
3
Male
14 years, 5 months
(0.79-1.50)
(0.4-5)
White
#5
0.84
1.49
Male
12 years
(0.79-1.5)
(0.36-3.74)
White
Multiple small cysts bilaterally measur- ing 5-8 mm.
#6
7 years, 10 months
Female
3.70
1.14
Hispanic
(0.36-3.74)
(0.79-1.5)
Multiple small cysts bilaterally, <2 mm, mainly at the periphery of the gland.
#7
14 years
Female
2.97
1.06
White
(0.45-4.5)
(0.93-1.6)
Multiple small cysts bilaterally, mainly at the periphery of the gland. Thyroid volume = 8.3-9 ml
#8
16 years, 5 months
Female
0.96
1.26
White
(0.5-4.5)
(0.78-1.5)
Table 1. Patient descriptions, thyroid function values and thyroid ultrasound characteristics. Anti-thyroglobulin and anti- thyroid peroxidase antibodies were negative in all patients. *T4 = Total Thyroxine
J La State Med Soc VOL 170 JULY/AUG 2018 115
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