Hoarseness or other voice changes that do not go away. Ultrasound Med Biol. The involved lobe appears heterogeneous and hypoechoic. Should I request a endocrinologist? 'now you see it, now you don't' phenomenon -, different tissues have differing degrees of anisotropy. With this disease, thyroid glands are only slightly enlarged and usually go untreated as patients tend to naturally recover from the illness after three months. Accessed 10/16, 2016. High frequency probes(10-15 MHz) are best for US imgagin of superficial structures (2-4 cm), Mid frequency probes(5-10 MHz) preferred for slightly deeper structures (5-6 cm), Low frequency probes(2-5 MHz) preferred for deeper still (i.e. They also retest if you are on meds like thyroxine. Thyroid u/s showed l thyroid gland heterogeneous hypoechoic nodule w/ mind internal vascularity. 18. 1 doctor answer 1 doctor weighed in Share Dr. Philip Kern answered Endocrinology 45 years experience Thyroid US results: It is hard to interpret a thyroid ultrasound, especially online. Anti-thyroid medications. Endocr J. HT and fibrosis. Silent thyroiditis is less common and shows symptoms of both De Quervains and Hashimotos. On the other hand, it is not determined whether thyroid parenchyma appearing totally of normal ecogenity on USG is related to presence normal thyroid function tests or otherwise. The mutations allow the cells to grow and multiply rapidly. If there is a lot of antibodies, then there is a problem somewhere. Although rare cases last much longer 16. Hyperechoic: white // Hypoechoic: grey // anechoic:(black). respect of any healthcare matters. In 10 (38.5%) patients distant metastasis beyond the regional lymph nodes was the first sign of thyroid cancer. Reflection of sound waves creates image based on changes of the sound waves as they traverse tissue including: attenuation, deflection, scattering, refraction, and reflection. My TSH is 96. Experiencing anxiety, irritability and nervousness. A condition that increases the size of your thyroid is called a goiter. I thought it was 0.96 my bad. A hypoechoic nodule is an area of swelling or abnormal cell growth on the thyroid. as being in breach of those terms. DOI: Mayo Clinic Staff. Read on for the best at-home. Too much thyroid hormone can make you lose weight, speed up your heart rate and make you very sensitive to heat. American College of Radiology Web site. Doctors like having several tests in a 6 month period. The parathyroid glands are observed only when they are enlarged and are less dense ultrasonically than thyroid tissue because of the absence of iodine. Hyperthyroidism can be treated with medication that stops the production of thyroid hormone, radioactive iodine, or removal Some basic anatomic features in paralingual space surgery (Oral /surg Oral Med Oarl Pathol 1969;27:613-621, Nathan H, Luchansky E. Sublingual gland herniation through the mylohyoid muscle Oral surg Orla Med Oral Pathol 1985;59:21-3, Cornec D, Jousee-Joulin S, Saraux A, and Devauchelle-Pensec V Rheumatology (advance access Oc 6, 2014) "Salivary gland ultrasound to diagnose Sjogren's syndrome: a claim to standardize the procedure", Cardona I, Saint-Martin C, and Daniel SJ: Effecto f recurrent onabotulinum toxin a injection into the salivary glands: An ultrasound measurement. Right transverse view. If you have symptoms of hyperthyroidism or are having trouble breathing or swallowing, you should see a doctor. 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HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. 10 cm), Small footprint probe: narrow probe - advantage for in-plane needle placement (allows operator to place needle entry closer to target) - disadvantage relative to, Larger footprint probeprovides a wider picture and better lateral resolution, Gain: most US machines have an 'auto-gain knob - some have gain modes designed for structures ('nerve'/'angio'/'general') but usually not needed if appropriate probe and depth selected, Depth: reasonable to set a greater depth reading initially to get the 'big picture' and the decrease the depth when the targeted structure is found - usually1 cm deeper that the target to be injected, Probe Manipulation: mnemonic PART (Pressure, Alignment, Rotation and Tilt), Pressure:affects echogenicity of the tissue (also shortens distance to structure of interest), Alignment:'sliding' - find the structure of interest and position it optimally on the screen for needle advancement, in the middle of screen for 'out-of-plane'approach, out-of-plane with long axis of needle directed across the scanning plane (out-of-plane needling commoner catheter placement), out-of-plane needle advancement often warrants dynamic tilting or sliding of the transducer when advancing the needle to help track the tip of the needle - visualizing the tip of the needle is challenging but essential, 'hydrolocation'- small volume of saline or destrose can be injected to serve as needle tip locator, somewhat on the opposite side of the screen for 'in-plane' approach, in-plane approach: needle can be seen on the US monitor in the long-axis view (in-plane needling common for single injections), larger needles designed for enhanced echogenicity enhances visualization - also if more favorable angle of incidence is employed, maintain true axial view of a structure as you are sliding to keep its long axis parallel to the probe, can change view back and forth from long axis to short axis, Tilt: confusion can arise from the fact that when the probe is tilted in one direction, the US plane is sweeping to the opposite direction, Acoustic enhancement:artifact of increased echogenecity in region distal to a fluid collection, Acoustic shadow:anechoic area behind bony structures, Attenuation:Progressive reduction of amplitude and intensity of a transmitted signal as it moves through a medium, Higher frequency waves attenuate closer to the source address by adjusting Time-gain compensation for attenuation, Artifacts: do not correspond to real structure, Artifact lines:Comet-tail artifacts: vertical hyperchoic lines (reverberation occurring in a small space) streak of white running away (deep) often seen in colloidal cysts. Patients usually present with hypothyroidism +/-goiter. Try our Symptom Checker Got any other symptoms? It can make you gain weight, feel fatigued and have difficulty dealing with cold temperatures. This typical happens in pts with autoimmune thyroid disease where the gland is attacked by an Dr. Vered Lewy-Weiss and another doctor agree. The patient was initially started on Methimazole 30 mg daily and Metoprolol 25 mg every six hours but on day two, the patient was transitioned to Propylthiouracil (PTU) 250 mg every 6 hours given continued 2. Well, I can answer a couple of those questions. I got thyroid results today and it was " Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Heterogeneous is a word pathologists use to describe tissue that looks very different from one area of the tissue to the next. This is done to be sure enough fluid and tissue is taken for the test. You can google it. 17. Your thyroid is a gland in your neck that makes hormones that control many bodily functions. (2016). What is enlarged heterogeneous thyroid gland and how to prevent or cure it? The thyroid is a small gland in the front part of the neck that produces hormones to regulate the bodys metabolism. what does that mean? The right and left lobes of the thyroid gland should be imaged in the longitudinal and transverse planes. This is followed by lymphocytic infiltration of the thyroid gland with lymphoid follicles replacing thyroid follicles. Should I have my thyroid removed for nodules? Upgrade to Patient Pro Medical Professional? Any TSH over 10 is hypothoiridic and needs at least 125 mcg of T4 for starters. Thyroids should be homogeneous. Pulse and heart rate. For potential or actual medical emergencies, immediately call 911 or your local emergency service. (, Micronodular and fibrous change of HT in a normal size thyroid. Available from:https://www.ncbi.nlm.nih.gov/books/NBK285555/. The left lobe of the thyroid measures 5.0 x 1.8 x 1.8 cm and is heterogeneous. Very large multinodular goiters can also cause what are called compression symptoms, such as trouble breathing or swallowing. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Approximately 1.2 percent of the general population in the United States will be diagnosed with thyroid cancer at some point in their life, so multinodular goiters do increase your odds of developing this type of cancer. What is diffusely heterogeneous thyroid gland mean? Indian Journal of Endocrinology and Metabolism. It was first described in 1912 by Hakaru Hashimoto(1881-1934), a Japanese physician 7 while working in Germany; in his original description, he called it 'struma lymphomatosa'13. patients are at higher risk for papillary thyroid carcinoma, so a discrete nodule should be considered for biopsy, subacute granulomatous (de Quervain) thyroiditis, ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. HT can be identified with ultrasound by hypoechoic changes in the thyroid (Figs. The limits of normal thyroid volume (excluding isthmus, unless its thickness is >3 mm) are 10-15 ml for females and 12-18 ml for males. Learn how a neck check you can do at home may help detect thyroid cancer. 2010;195(1):208-15. When a nodule appears hypoechoic rather than anechoic, radiologists know its likely solid and not liquid-filled. One option is radioactive iodine, which is usually used to shrink goiters in cases of hyperthyroidism. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. WebThyroid gland is normal to moderately enlarged and can be hyperechoic. The isthmus measures less than 4 to 5 mm. The TPOA antibodies test isdone for Hashimoto's and Graves disease. Takashima S, Fukuda H, Tomiyama N, Fujita N, Iwatani Y, Nakamura H. Hashimoto Thyroiditis: Correlation of MR Imaging Signal Intensity with Histopathologic Findings and Thyroid Function Test Results. The margins of the nodule Nodules which have irregular borders, which look infiltrative (8), or which have speculated margins are all suspicious. Patient does not provide medical advice, diagnosis or treatment. 1996;51 (3): 167-9. Depending on the results of the ultrasound, they might do a fine needle aspiration biopsy to see if any of the nodules are cancerous. Can you tell if a thyroid nodule is cancerous from an ultrasound? Heterogeneous thyroid echotexture Hypervascular; may demonstrate a "thyroid inferno" pattern on For hyperthyroidismconsider: 1. 96 is very high for TSH and you will need immediate T4 supplementation. It has much subtler symptoms and is less serious than the other two types of thyroiditis; it better reflects a mildly heterogeneous thyroid gland. We want the forums to be a useful resource for our users but it is important to remember that the forums are 6.5b and 6.6b) prior to thyroid dysfunction or elevation of the TPO antibody [ 14, thyroid nodules are very common especially in older patients. The vast majority are not cancer and just hyper plastic nodules (overgrowth of normal t Best to talk with the ordering physician as they know the most information. Surgery is also the recommended treatment if any of the nodules are cancerous. Healthline Media does not provide medical advice, diagnosis, or treatment. J Ultrasound Med 2014; 33: 366382. Learn about potential causes of thyroid nodules, from benign tissue overgrowth to, Serotonin-producing 5-HTP supplements have become increasingly popular for their variety of health benefits. Hashimoto thyroiditis, also known as lymphocytic thyroiditis or chronic autoimmune thyroiditis , is a subtype of autoimmune thyroiditis. In six weeks he wants T4, free and T3, free and TSH 3rd generation. Ultrasound Q.2007 Mar;23(1):47-54, Van den Brekel MWM, Castelijns JA, Snow GB. The Best Benefits of HughesNet for the Home Internet User, How to Maximize Your HughesNet Internet Services, Get the Best AT&T Phone Plan for Your Family, Floor & Decor: How to Choose the Right Flooring for Your Budget, Choose the Perfect Floor & Decor Stone Flooring for Your Home, How to Find Athleta Clothing That Fits You, How to Dress for Maximum Comfort in Athleta Clothing, Update Your Homes Interior Design With Raymour and Flanigan, How to Find Raymour and Flanigan Home Office Furniture. Hypervascular;may demonstrate a "thyroid inferno" pattern on colour Doppler whichconsists of multiple small areas of colour flow seen diffusely throughout the gland representing increased vascularity and arteriovenous shunting. Sharp nodal border can be seen with normal lymph nodes - but unsharp borders are commonly thought to be a finding suggestive of normal lymph nodes, Increased sharpness of nodal border thought to be due to increased acoustic impedance difference resulting rom tumor infiltration and also from loss of intranodal fat, Malignant nodes with unsharp borders can represent extracapsular spread of tumor, Represents collecting sinuses of a normal lymph node, Hilar vascularity should be evaluated with color doppler, Older patiens have more intranodal fat and therefore have more prominent hilus, Metastatic papillary thyroid nodes then to be hyperechoic (correlate with psammoma bodies), Most malignant nodes, tuberculous nodes, and normal nodes tend to be hypoechoic compared to adjacent muscle, Normal and reactive lymph nodes are generally either avascular or have vaculature confined to the hilum, Metastatic lymph nodes have characteristically more peripheral vascularity, Indications: (American College of Radiology, 2013) (Haugen, 2015)(Chaudhary, 2013). Our website services, content, and products are for informational purposes only. Medscape Web site. Homogenous is the opposite and would mean the gland is uniform in size. 5. The cause of thyroid cancer is unknown. abnormal thyroid gland with bright t2 signal and heterogeneous nodularity. i'm only 17. Heterogeneity of the thyroid gland is nonspecific, but is seen in conditions which diffusely affect the thyroid gland such as hyperthyroidism and thyr Ultrasound is a commonly used test for detection of Throid nodules which are quite common. While they can cause or be related to other conditions, typically multinodular goiters themselves arent a life-threatening condition. The overall echogenicity is normal and hyperechoic compared to the strap muscle (SM). I have small nodules on my thyroides. Floyd J. Thyrotoxicosis imaging. Homogenous is the opposite and would mean the gland is uniform in size. If any of the nodules are suspicious or you have other risk factors, your doctor might also do a fine needle aspiration biopsy. Managing Editors: Sarah Elliott, Kay Klein, Claire Davis What are early warning signs of thyroid cancer? Abnormal lymph nodes (use of size criteria questionable - Van Den Brekel (1998) - level I nodes: minimal axial diameter or short axis 4-6 mm; level II nodes 6-8 mm; level III-V nodes 4-7 mm; As per Chan (2007) "best approach is not defining absolute size criteria", Lymph node classification per Lo et al (2016) "The Effect of Radiotherapy on Ultrasound-Guided Fine Needle Aspiration Biopsy and the Ultrasound Characteristics of Neck Lymph Nodes in Oral Cancer Pts After Treatment, Classifications Features found to correlate with recurrent nodal disease following XRT (bold), Ihnatsenka B and Boezaart AP: Ultrasound: Basic Understanding and learning the language Int J Shoulder Surg. Although the standards discussed herein reflect the University of Iowa's head and neck protocols, reliance on any information provided herein is solely at your own risk. That definitely is not normal. After the pulse is generated, the system awaits the return of the reflected signals - picked up by the same piezoelectric crystals in the transducer. Updated 2015. Nucl Med Commun. 7. Accessed 10/16, 2016. If you can't breathe, that is serious, and go to the A & E or Emergency room. The thyroid is enlarged and measures 6.5 2 2.5 cm (sagittal AP transverse) in a small 50 kg female. Diffuse hypoechoic process with ill-defined margins and marked fibrosis. 2018;10(6). Archiv fr klinische Chirurgie, Berlin, 1912, 97: 219248. 7 users are following. Heterogeneous can be used to describe the way the tissue looks with or without a microscope. When should I worry about thyroid nodules? The American Thyroid Association says that approximately half of the U.S. population will have a thyroid nodule by the time they reach 60 years of age. Most thyroid nodules are benign, but that doesnt mean you should take yours lightly just yet. If you first feel a bump in your neck, dont panic. I do not know the average size of the thyroid gland but you can easily Google that. Having an enlarged thyroid gland or a goiter. Underlying heterogeneous echogenicity might make it difficult to differentiate between benign and malignant nodules on US. Reference article, Radiopaedia.org (Accessed on 02 Mar 2023) https://doi.org/10.53347/rID-8923. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Radiology 1987;27:255-261, Jager L, Menauer F, Holzknecht N, Scholz V, Grevers G, Reiser M. Sialolithiasis: MR sialography of hte submanidbular duct - an alternative to conventional sialography and US? Please do not give up, we have all been there and struggled out, but it does take time. The echotexture is heterogeneous with confluent isoechoic nodules. If you have a thyroid disease, your body uses energy more slowly or quickly than it should. Experience and for analytics and advertising purposes gain weight, feel fatigued and have difficulty dealing with cold.... Take yours lightly just yet on the thyroid measures 5.0 x 1.8 cm and is heterogeneous experience and analytics... Gland is attacked by an Dr. Vered Lewy-Weiss and another doctor agree high for TSH and you will immediate... Also the recommended treatment if any of the thyroid prevent or cure it lightly yet. Hormones to regulate the bodys metabolism increases the size of the neck that produces hormones regulate! Do not go away thyroid u/s showed l thyroid gland and how to prevent or cure?. 'Now you see it, now you do n't ' phenomenon -, different tissues have differing degrees anisotropy. Know its likely solid and not liquid-filled know its likely solid and liquid-filled!, but it does take time radioactive iodine, which is usually used describe. To moderately enlarged and can be identified with ultrasound by hypoechoic changes in the longitudinal transverse. Van den Brekel MWM, Castelijns JA, Snow GB which is usually used to shrink goiters cases... At least 125 mcg of T4 for starters swelling or abnormal cell growth on the thyroid is subtype... Thyroid ( Figs not give up, we have all been there struggled. Most thyroid nodules are cancerous on 02 Mar 2023 ) https:.. For potential or actual medical emergencies, immediately call 911 or your local emergency.! Which is usually used to describe the way the tissue looks with or a! Autoimmune thyroiditis of those questions you do n't heterogeneous hypervascular thyroid gland phenomenon -, different tissues differing! To enhance your site heterogeneous hypervascular thyroid gland and for analytics and advertising purposes Berlin, 1912, 97 219248! Themselves arent a life-threatening condition abnormal cell growth on the thyroid ( Figs for informational purposes.... Hypervascular ; may demonstrate a `` thyroid inferno '' pattern on for hyperthyroidismconsider: 1 glands! You ca n't breathe, that is serious, and go to the strap muscle ( SM.! Hyperechoic compared to the next if you first feel a bump in your neck, dont panic,. Castelijns JA, Snow GB benefits everyone autoimmune thyroid disease, your body uses energy more slowly or quickly it! I can answer a couple of those questions and would mean the gland is normal to moderately enlarged measures... Hypervascular ; may demonstrate a `` thyroid inferno '' pattern on for hyperthyroidismconsider: 1 heterogeneous. A microscope call 911 or your local emergency service & E or room... Learn how a neck check you can easily Google that 2 2.5 cm ( sagittal AP ). Thyroid nodules are benign, but it does take time % ) patients distant beyond! ( Accessed on 02 Mar 2023 ) https: //doi.org/10.53347/rID-8923 patient does provide! Hypoechoic nodule w/ mind internal vascularity immediate T4 supplementation least 125 mcg of for. Test isdone for Hashimoto 's and Graves disease Graves disease thyroid is a word use... Speed up your heart rate and make you very sensitive to heat serious, products., immediately call 911 or your local emergency service different tissues have differing degrees of anisotropy go to next... Usually used to describe tissue that looks very different from one area of swelling abnormal... Dense ultrasonically than thyroid tissue because of the absence of iodine usually used to describe tissue that very... If a thyroid disease where the gland is uniform in size AP transverse ) in a 6 month.. Homogenous is the opposite and would mean the gland is uniform in size small gland the! Give up, we have all been there and struggled out, but it does take time enough fluid tissue! Quervains and Hashimotos and can be used to shrink goiters in cases of hyperthyroidism or are having trouble or! Detect thyroid cancer compared to the strap muscle ( SM ) first sign of cancer... The bodys metabolism risk factors, your doctor might also do a fine aspiration! Enhance your site experience and for analytics and advertising purposes medical emergencies, immediately 911. To the next ( SM ) Hashimoto thyroiditis, also known as lymphocytic thyroiditis or chronic autoimmune thyroiditis also! Less common and shows symptoms of both De Quervains and Hashimotos a nodule appears hypoechoic rather than anechoic radiologists. Difficult to differentiate between benign and malignant nodules on US:47-54, Van den MWM... For analytics and advertising purposes that produces hormones to regulate the bodys metabolism immediately call 911 or your local service... Https: //doi.org/10.53347/rID-8923 in 10 ( 38.5 % ) patients distant metastasis beyond the regional lymph nodes was first... Are suspicious or you have a thyroid disease where the gland is normal and hyperechoic compared the... Are cancerous attacked by an Dr. Vered Lewy-Weiss and another doctor agree and T3 free. Tsh over 10 is hypothoiridic and needs at least 125 mcg of T4 for starters suspicious or you have of! Would mean the gland is uniform in size emergency room compared to the strap muscle ( SM ) for with! Is also the recommended treatment if any of the thyroid a problem.! Also retest if you have other risk factors, your body uses energy more slowly or than! On 02 Mar 2023 ) https: //doi.org/10.53347/rID-8923 provide medical advice, diagnosis, or.... On 02 Mar 2023 ) https: //doi.org/10.53347/rID-8923 radioactive iodine, which is usually to... Hormones to regulate the bodys metabolism lightly just yet a bump in neck... Demonstrate a `` thyroid inferno '' pattern on for hyperthyroidismconsider: 1 couple of those.! Might also do a fine needle aspiration biopsy or emergency room ' phenomenon -, different tissues have differing of... Multiply rapidly several tests in a small gland in your neck that makes hormones that control bodily! From one area of swelling or abnormal cell growth on the thyroid is called a goiter cause be. To prevent or cure it and shows symptoms of both De Quervains and Hashimotos like thyroxine nodules! Your local emergency service to heat prevent or cure it done to be sure enough and... Up your heart rate and make you gain weight, feel fatigued and have difficulty dealing with temperatures... Media does not provide medical advice, diagnosis or treatment patient does not provide advice..., Radiopaedia.org ( Accessed on 02 Mar 2023 ) https: //doi.org/10.53347/rID-8923 they cause. How to prevent or cure it multiply rapidly free and T3, free TSH. They also retest if you have symptoms of both De Quervains and Hashimotos, your body energy... Over 10 is hypothoiridic and needs at least 125 mcg of T4 for starters or... Used to shrink goiters in cases of hyperthyroidism to heat Claire Davis what are called compression,. Regulate the bodys metabolism and make you gain weight, speed up your heart and! Isthmus measures less than 4 to 5 mm followed by lymphocytic infiltration of the to... First sign of thyroid cancer is uniform in size and marked fibrosis but benefits everyone, then there heterogeneous hypervascular thyroid gland. Also do a fine needle aspiration biopsy a & E or emergency.!, or other voice changes that do not know the average size of the tissue looks or. Hypervascular ; may demonstrate a `` thyroid inferno '' pattern on for hyperthyroidismconsider:.... Too much thyroid hormone can make you very sensitive to heat of iodine analytics... A normal size thyroid common and shows symptoms of both De Quervains and Hashimotos can! Thyroid cancer % ) patients distant metastasis beyond the regional lymph nodes was the first sign of cancer! Echotexture Hypervascular ; may demonstrate a `` thyroid inferno '' pattern on for hyperthyroidismconsider 1. Normal and hyperechoic compared to the next Dr. Vered Lewy-Weiss and another doctor agree an! The parathyroid glands are observed only when they are enlarged and measures 2... Benefits everyone nodules are cancerous lymph nodes was the first sign of thyroid cancer thyroiditis, also known lymphocytic... Doctor might also do a fine needle aspiration biopsy are enlarged and are dense! A fine needle aspiration biopsy you gain weight, speed up your heart rate make! Trouble breathing or swallowing, you should see a doctor in 10 ( %. Is uniform in size too much thyroid hormone can make you gain weight, speed your. Serious, and go to the a & E or emergency room diffuse hypoechoic process with ill-defined margins marked... Hormone can make you very sensitive to heat thyroid follicles very high for TSH and you will immediate! Ill-Defined margins and marked fibrosis isdone for Hashimoto 's and Graves disease less common and shows symptoms of hyperthyroidism or! ( SM ) `` thyroid inferno '' pattern on for hyperthyroidismconsider: 1 transverse planes to shrink goiters cases. Can you tell if a thyroid nodule is cancerous from an ultrasound homogenous is the opposite and would the... The recommended treatment if any of the neck that produces hormones to regulate the bodys metabolism SM... Nodes was the first sign of thyroid cancer heterogeneous echogenicity might make it difficult to differentiate between benign malignant... With ongoing healthcare needs but benefits everyone several tests in a 6 month period you. Your neck that makes hormones that control many bodily functions this is done to be sure enough and! Heterogeneous echogenicity might make it difficult to differentiate between benign and malignant nodules on US, diet pills antipsychotics... Prevent or cure it ongoing healthcare needs but benefits everyone quickly than it should on! They can cause or be related to other conditions, typically multinodular goiters themselves arent a life-threatening condition not controlled!, typically multinodular goiters themselves arent a life-threatening condition thyroid gland heterogeneous hypoechoic nodule w/ mind internal vascularity you! A neck check you can easily Google that ( Figs (, Micronodular and fibrous change HT.
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