A 75 year old woman complains of lethargy ...

Patient Chart
History: A 75 year old woman is seen in her physician's office with a chief complaint of a two month history of lethargy, swelling in lower portion of her neck (goiter) and coarse skin.

Test Results: Ultrasensitive TSH markedly increased. Decreased free T4. High cholesterol.
Heart Rate:
Blood Pressure: /

Heart Sounds:
Lung Sounds:

Diagnosis What is your diagnosis?