Toxic Thyroid Nodule Case Report
35 yo WF with large thyroid nodule and borderline hyperthyroidism for 5 years. Within the last several months she developed recurrent heart palpitations and anxiety, difficulty sleeping, and muscle cramps. Methimazole was initiated to control symptoms. Her radioactive iodine uptake scan in 2017 demonstrated hot nodule on same side as her large thyroid nodule. She presented in November 2021 to the Thyroid Nodule Treatment Center for evaluation. TSH 0.01, Free T4 2.9. After medication provided temporary normalization of thyroid function, she elected to undergo RFA Thyroid Nodule of a 28.5 ml toxic (autonomous) nodule.
In December 2021 she underwent RFA of a 28.5 ml nodule using Joules of energy at the Thyroid Nodule Treatment Center.