Multi-nodular goitre

58 year old female presented with bilateral neck swelling for many years. The GP found that she has some tremors in the hand and her Thyroid Function Test is elevated.
Ultrasound showed an enlarged thyroid lobes with multiple nodules within them. A diagnosis of multi-nodular goitre was made.

A scan of the right lobe showed increase vascularity.

Similarly, the left lobe is also enlarged with mutilple nodules within it.