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Having Headache And Neck Pain. Esophagram Result Came Normal And Thyroid Ultrasound Showed Isoechoic Nodule. Meaning?
Question: My Sinus and ear fluid problem has gone, along with headaches too. But I am still having frequent aches around neck from time to time, at times feels like pinching. Looking at my history my doctor order two tests Thyroid ultrasound and ESOPHAGRAM.
Results from Esophagram: Barium and granules were administered orally without difficulty. Esophagus is normal in mucosal pattern and motility. No hiatal hernia is evident, no gastroesophageal reflux was visualized during the study which doesn't exclude that diagnosis. The opacified portions of the stomach and proximal small bowel are considered with in normal limits. Rapid sequence imaging of the cervical esophagus appears normal as well.
Results from Thyroid ultrasound: The thyroid gland is homogeneous throughout. The right thyroid lobe measures 4.8*1.7*1.1 cm. The left thyroid lobe measures 5.1*1.7*1. cm. The isthmus measures 3.5 mm. Normal echogenicity and blood flow. Posterior to the mid aspect of the left thyroid lobe there is a 7*5*6 mm isoechoic nodule. This could represent a parathyroid nodule
What does this report means and what should be my next steps? If any treatment is required and prognosis?
Results from Esophagram: Barium and granules were administered orally without difficulty. Esophagus is normal in mucosal pattern and motility. No hiatal hernia is evident, no gastroesophageal reflux was visualized during the study which doesn't exclude that diagnosis. The opacified portions of the stomach and proximal small bowel are considered with in normal limits. Rapid sequence imaging of the cervical esophagus appears normal as well.
Results from Thyroid ultrasound: The thyroid gland is homogeneous throughout. The right thyroid lobe measures 4.8*1.7*1.1 cm. The left thyroid lobe measures 5.1*1.7*1. cm. The isthmus measures 3.5 mm. Normal echogenicity and blood flow. Posterior to the mid aspect of the left thyroid lobe there is a 7*5*6 mm isoechoic nodule. This could represent a parathyroid nodule
What does this report means and what should be my next steps? If any treatment is required and prognosis?
Brief Answer:
Left parathyroid adenoma
Detailed Answer:
Hi Sir,
It suggests that you may be suffering from the left parathyroid adenoma. If you were my patient, I would order for the following test to arrive at a diagnosis and to plan my next treatment
1. Serum calcium level and vitamin D level.
2. 99m Tc sestamibi scan.
3. Parathyroid hormone level.
If the tests confirm that you have the parathyroid adenoma, then I would opt for surgical removal of this adenoma as early as possible. Surgery cures adenoma more than 95% cases i.e. prognosis is very good.
Discuss with your surgeon about this possibility.
Hope this helps. Let me know if you need clarifications.
Wish you good health.
Left parathyroid adenoma
Detailed Answer:
Hi Sir,
It suggests that you may be suffering from the left parathyroid adenoma. If you were my patient, I would order for the following test to arrive at a diagnosis and to plan my next treatment
1. Serum calcium level and vitamin D level.
2. 99m Tc sestamibi scan.
3. Parathyroid hormone level.
If the tests confirm that you have the parathyroid adenoma, then I would opt for surgical removal of this adenoma as early as possible. Surgery cures adenoma more than 95% cases i.e. prognosis is very good.
Discuss with your surgeon about this possibility.
Hope this helps. Let me know if you need clarifications.
Wish you good health.
Above answer was peer-reviewed by :
Dr. Prasad
Are isoechoic nodules cancerous..?
Brief Answer:
Benign Nodule
Detailed Answer:
Hi Sir,
Thanks for the followup.
Isoechogenesity suggests the benign nodule, not cancer.
Wish you good health
Benign Nodule
Detailed Answer:
Hi Sir,
Thanks for the followup.
Isoechogenesity suggests the benign nodule, not cancer.
Wish you good health
Above answer was peer-reviewed by :
Dr. Yogesh D
My PTH level came normal. I have heard about HPV, could it be "HPV"? Please advice the next steps, what could this be..?
Brief Answer:
Not HPV
Detailed Answer:
HI Sir,
I have gone through your follow up query.
Normal PTH doesn’t rule out benign parathyroid nodule.
You need to go for above mentioned two tests.
Please go through these tests- after this I am able to give you good suggestion about this.
HPV is the Human papilloma Virus - mainly it have two strain first transmitted through the oral sex and second one with anal sex/ vaginal sex.
If you have any doubt, I will be available for your query.
Wish you good health.
Not HPV
Detailed Answer:
HI Sir,
I have gone through your follow up query.
Normal PTH doesn’t rule out benign parathyroid nodule.
You need to go for above mentioned two tests.
Please go through these tests- after this I am able to give you good suggestion about this.
HPV is the Human papilloma Virus - mainly it have two strain first transmitted through the oral sex and second one with anal sex/ vaginal sex.
If you have any doubt, I will be available for your query.
Wish you good health.
Above answer was peer-reviewed by :
Dr. Yogesh D
Hi,
The email indicate the query has been answered but I can't see the answer..
The email indicate the query has been answered but I can't see the answer..
Brief Answer:
Just again check
Detailed Answer:
Hi Sir,
I have gone through your follow up query.
Just check your email again for this or contact with Health care magic (Customer care). I already have given the answer of your query.
Wish you good health
Just again check
Detailed Answer:
Hi Sir,
I have gone through your follow up query.
Just check your email again for this or contact with Health care magic (Customer care). I already have given the answer of your query.
Wish you good health
Above answer was peer-reviewed by :
Dr. Prasad
Hi,
The calcium test shows ionized calcium of 5.5 mg/dl (which my doctor think is normal)
My symptomps: Sensation on the neckline (around the shoulder), Confusion after eating, at times slurry speech - loss of words, weight loss, difficulty concentrating, stiffness around neck (which gets little better after I relives myself).
I think something big is going on, just don't know. I am meeting a GI after 2 days, any advice on that.
My doctor didn't order test for calcium serum, but I had the blood test done around a month back which indicated calcium serum as normal with the value of 10 mg/dl
The calcium test shows ionized calcium of 5.5 mg/dl (which my doctor think is normal)
My symptomps: Sensation on the neckline (around the shoulder), Confusion after eating, at times slurry speech - loss of words, weight loss, difficulty concentrating, stiffness around neck (which gets little better after I relives myself).
I think something big is going on, just don't know. I am meeting a GI after 2 days, any advice on that.
My doctor didn't order test for calcium serum, but I had the blood test done around a month back which indicated calcium serum as normal with the value of 10 mg/dl
Brief Answer:
Normal Calcium Level
Detailed Answer:
Hi Sir,
Normal laboratory values (adult patients):
Calcium (Serum): 8.5 - 10.5 mg/dL (2.12 - 2.57 mmol/L)
Calcium (Ionized) Serum: 4.5 - 5.6 mg/dL (1.1-1.4 mmol/L)
You can also plan to visit a neurologist after gastro visit to discuss about the list of symptoms. I am sure you will be able to find helpful treatment after the neuro visit.
Hope this helps.
Wish you good health
Normal Calcium Level
Detailed Answer:
Hi Sir,
Normal laboratory values (adult patients):
Calcium (Serum): 8.5 - 10.5 mg/dL (2.12 - 2.57 mmol/L)
Calcium (Ionized) Serum: 4.5 - 5.6 mg/dL (1.1-1.4 mmol/L)
You can also plan to visit a neurologist after gastro visit to discuss about the list of symptoms. I am sure you will be able to find helpful treatment after the neuro visit.
Hope this helps.
Wish you good health
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
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