Teenager on school medical examination by schedule(without complaints), unremarkable by the conclusion of the endocrinologist.
At ultrasound thyroid gland volume about 15 ml with diffusely inhomogeneous structure and increased blood flow in the CFM (Hashimoto' s?). In the isthmus there are 1-2 an / hypoechoic lesions, oval shape, with a clear outline, at CFM is well supplied with blood (adenomatous hyperplasia? LN?).