THYROID - Simple nodular goitre

This is a markedly enlarged thyroid showing numerous nodules up to 3.0 cm. in diameter. There are obvious areas of haemorrhage present and some nodules are quite clearly surrounded by fibrous tissue. The histology of the lesion is that of a simple nodular goitre.
This woman presented at the age of 72 with a large thyroid gland which had been slowly enlarging over the years.