Female 48 years, diagnosed with thyroid nodule for 2 years has been handled with the advice to take more iodine ¨ ago. The sonographic examination shows complex, mixed-node (with solid areas and cavitation of liquid contained therein) .It has oval, is located in the right lobe. The left lobe is free of injuries. Color Doppler shows increased flow in the peripheral and less inside the nodule. The injury is approx: 16.8 X 9.8 X 7.8 mm.
The study of the lesion with elastography pattern shows predominance of blue that extends to beyond the nodule, which classifies the score at 4-5 grade Ueno high probability of being malignant, as a result, we recommend biopsy sono -directed