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OCR: d scan. Fig. 23.42 Multinodular goitre: ultrasour lule This longitudinal scan shows a large no cold' on containing specks of calcium which was led furtherradionuclide scanning. Ultrasound reve goitre. nodules, consistent with a multinodular ign nature Fine needle aspiration confirmed the ber a solitary thyroid nodule clinically, whic. nd can be on radionuclide scanning, neck ultrasou h is 'cold' ear to haveof the 'cold' nodule, In patients who app tic or solid, of value. It will show if the nodule is cys Solitary solid thyroid lesions need furthe hant. The investigation because they may be malig however, presence of unsuspected further nodules usually indicates a multinodular goitre. See also: · Hyperthyroidism See later: . 'Cold' Thyroid Nodule (Nucl) . 'Warm' Thyroid Nodule (Nucl)