Multi-nodular goitre

A 37 year old female presented with right neck swelling that has been present for some years. The swelling is palpable and painless. Ultrasound showed an enlarged right thyroid gland with a 2cm solid nodule with mixed echogenicity in the right lobe of thyroid.

Peripheral vascularity indicating central degeneration.

The left lobe is also enlarged with multiple smaller nodules within it.

The isthmus is also thickened with multiple nodules within it