Thyroid test shows nodule posterior at the mid thyroid Ievel. What does this mean?
User rating for this question
hiThe overaLl slze of the t,hyroid gland is within normal Limits. Parenchymal echogenicity is diffusely heterogeneous with multiple areas of decreased echogenicity. ?hls makes posit.ive recognj.tlon of nodules difficult. On the left there appears to be I x Smm hlpoechoic noduLe posteriorly at the mid thyroid Ievel. On the right a slightJ.y larger 12 x 5mm nodule is noted posteriorly as weII. Vascularlty of the thyroid was satisfactory and there was no retrosternal extensi.on.
Posted Tue, 26 Nov 2013 in Thyroid Problem and Hormonal Problems
Answered by Dr. Shehzad Topiwala 12 hours later
Brief Answer: Thyroxin dose Detailed Answer: You seem to have clear evidence of 'Hashimoto's thyroiditis' ie autoimmune damage to your thyroid gland which has likely resulted in permanent hypothyroidism (an underactive thyroid). This typically entails taking thyroxin for life. I see your TSH is about 5. Most endocrinologist aim for a TSH in the range of 0.4 to 2 by giving a higher dose of thyroxin such as 75 or 88 mcg. There are a few exceptions to this approach such as if you have an irregular heart beat, or angina type chest pains in the setting of coronary heart disease, or if you have severe osteoporosis. In these circumstances, lower doses of thyroxin are justified and the TSH targets are lenient (for instance, your 5 ish value would be acceptable). Otherwise, higher doses generally allow patients to feel best, but it is important to monitor levels periodically to prevent over-dosing. The nodules do not appear worrisome. Sometimes there is a 'pseudo-nodular' appearance in the setting of Hashimoto's thyroiditis, meaning there are no true nodules really. If you do not have major risk factors for thyroid cancer, such a family history or radiation exposure to the neck, then these can be left alone.
People also viewed
- Longitudinal lie for a 21 weeks foetus
- Thyroid test shows thyronormalcy what does it mean
- Metachlopromide and prolactin
- My thyroid stimulation hormone 3rd generation serum test i
- Hcg 5000 injection for rupture of follicle size 22mm
- Thyroid nodules hashimotos thyroiditis
- Primolut depot at 21 weeks
- Thyronorm and bleeding
- What is the treatment for thyroid nodules
- Lipoma 23 year old male collarbone
- Thyroid nodule genetic testing
- Ketones and protein in 23 weeks pregnant
- Thyronorm 75 mcg pregnancy
- What are the symptoms of thyroid nodules?
- What does flucuating thyroid test results mean