{"ops":[{"insert":"A 39 year old woman presents with a slowly enlarging lump in the front of her neck, which she first noticed around an year ago.\n\nNo other symptoms are present, and she has not sought medical advice in this respect earlier, due to the fear that she would be asked to undergo surgery.\n\nHer medical, surgical, and family histories are unremarkable, and she is not on any medications.\n\nShe only drinks socially and does not smoke. She also consumes a well-rounded diet, which includes seafood, and red meat.\n\nA complete blood count is found to be within normal parameters.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-096_en.png"}},{"insert":"\n"}]}
2
Investigate
Thyroid Ultrasound
{"ops":[{"insert":"The thyroid gland is diffusely enlarged, measuring 4.8 x 4.2 x 2.3cm in size, with hypoechoic heterogeneous changes involving the entire gland. There is no evidence of nodules or increased vascularity. The cervical lymph nodes are not enlarged.\n"}]}
