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Fig 1.

A 46-year-old woman with degenerated multinodular goiter.

Longitudinal sonogram shows a 35 mm, smooth, cystic anechoic nodule in the left thyroid lobe. Echogenic foci with comet-tail artifact freely distributed (solid arrow) (Type 1). The patient underwent surgery due to contralateral thyroid malignancy.

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Fig 1 Expand

Fig 2.

A 41-year-old man with multinodular goiter.

Longitudinal sonogram shows an 36-mm, smooth, mixed isoechoic nodule in the right thyroid lobe. Echogenic focus is located at the margin of solid component (solid arrow); comet-tail artifact is located within the cystic component (Type 2).

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Fig 2 Expand

Fig 3.

A 31-year-old woman with papillary thyroid carcinoma.

Longitudinal sonogram shows a 5-mm, smooth, solid hypoechoic nodule in the right thyroid lobe. The echogenic focus (solid arrow) is located at the margin of intra-nodular micro-cyst. Comet-tail artifact was detected in the solid component (Type 2).

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Fig 3 Expand

Fig 4.

A 52-year-old woman with papillary thyroid carcinoma.

Longitudinal sonogram showing a 45-mm, ill-defined, hypoechoic solid nodule in the right thyroid lobe. A linear echogenic focus with reverse-triangle artifact (solid arrow), and a round echogenic focus with fine artifact (arrowhead), and a punctate echogenic foci (faint arrow) are seen (Type 3).

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Fig 4 Expand

Table 1.

Baseline characteristics of study participants (n = 63).

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Table 1 Expand

Table 2.

Distribution of sonographic findings of 78 echogenic foci with comet-tail artifact in 71 nodules compared with pathological results.

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Table 2 Expand