Right upper thyroid nodule which is enlarging and causing more symptoms. Her TSH is chronically suppressed, although she has no overt symptoms of hyperthyroidism. She has been recommended to undergo a right thyroid lobectomy which she has refused. She found the Thyroid Nodule Treatment Center where she was found to have a 5.8 ml right upper thyroid nodule. A biopsy and nuclear imaging were obtained. The nuclear imaging demonstrated a hot nodule in the right upper pole with suppression of the remainder of her thyroid gland. The diagnosis of an autonomous nodule was established.