УЗИ щитовидной железы.

Заключение: Узловой зоб.
Рекомендовано:
Анализ крови на гормоны
Консультация эндокринолога
Контрольное УЗИ через 6 мес.

PS: красивый коллоидный узел в правой доле.

ODG пишет:

Дмитрий, а на ТАБ в данном случае Вы не отправляете?

Зачем, это обычный коллоидный узел!
Наблюдать и все пока.

Это не кальцинаты, а артефакты "хвоста кометы" в коллоидном узле.

Михаил пишет:

Все узлы больше 1 см на пункцию!!!

Где такое написано?

Есть и другие точки зрения.

The clinically suspicious nodule and one which should be considered for cytologic sampling is as follows [ 15, 16 ] :
1. Male gender
2. <20 and >70 years of age
3. Prior exposure to ionizing radiation during
childhood or adolescence
4. Family history of thyroid disease, especially
papillary thyroid cancer and medullary
cancer
5. Family or personal history of multiple endocrine
neoplasia (MEN)
6. Prior hemithyroidectomy with fi nding of
micro- or macropapillary carcinoma in the
specimen
7. FDG-PET-positive thyroid nodule, usually
identifi ed incidental to investigation of other
lesions outside of the thyroid
8. Defi ned hoarseness, local pain, dysphagia
9. Certain physical characteristics, i.e., fi rm
and/or fi xed thyroid mass, nodule greater than 4 cm, suspicious metastatic cervical lymphadenopathy
Many would argue that aspiration by palpation is adequate for sampling thyroid nodules, and indeed the large, obvious mass can be
addressed in this manner. However, the use of ultrasound guidance allows more specifi c sampling within a nodule or determining which of several nodules should be submitted to this analysis.
Thus, both nondiagnostic and false-negative results can be better avoided, and this has been documented in retrospective studies [ 17, 18 ] .
There are sonographic changes in addition to the pure cyst which are likely to be predictive of a benign process. The spongiform nodule in which
more than 50% of its volume is microcystic in appearance is nearly always benign with a reported negative predictive value of 98.5% [ 19, 20 ] .

Ultrasound of the Thyroid and Parathyroid Glands - Robert A. Sofferman • Anil T. Ahuja - 2012 г.


It is now established that neither nodule size nor number can preclude or predict malignancy (1,43). Patients with multiple nodules have the same risk of thyroid cancer as those with a solitary nodule. Moreover, approximately 50% of patients with a single nodule on palpation have additional thyroid nodules on thyroid US examination (41). US-FNA helps select the nodule or nodules that need biopsy. Recent American Association of Clinical Endocrinologists and Associazione Medici Endocrinologi guidelines (2) suggest selection of nodules for FNA on the basis of US features, whereas the Society of Radiologists in Ultrasound recommends FNA for nodules larger than 1.0 to 1.5 cm in diameter (43). This issue remains controversial.
www.thyroidmanager.org/chapter...f-the-thyroid-gland/

Все вроде правильно.
Я и сам не против пункции, но это дело не наше, а эндокринологов.
Что касается включений, то я остаюсь при своем мнении, просто наслаиваются одни структуры на другие, в том числе и артефакты.