This case comes from my colleague, A 56-year-old patient comes without discomfort for the clarification of the thyroid gland. .
There are no thyroid medication.In the ultrasonic echo sound normal pattern with small spots or inflammation bds No nodes total: 15.2 ml (right 8.2, left 7) Laboratory News: fT4: 1.3 standard (0.7 - 1.6 ng / dl) fT3 2.8 standard (2.2 to 4.5 ng / l) TSHbasal: 0.47 standard (0.3 to 4 mU / l) MAK:> 1300 standard (<60 IU / ml) What is the diagnosis? Does the patient need a thyroid medication?