Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Do The Following Thyroid Ultrasound Reports Suggest?
Question: I have a couple of thyroid ultrasound reports that I would like a endocrinologist to take a look at
Brief Answer:
Sure
Detailed Answer:
I would be glad to do so but I do not see any attached reports. Kindly attach them and I will offer my thoughts on them.
Sure
Detailed Answer:
I would be glad to do so but I do not see any attached reports. Kindly attach them and I will offer my thoughts on them.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Please note the dates on the reports do i need further work up can you tell me if the nodule is the same size anything i need to worry about
Brief Answer:
Follow up
Detailed Answer:
I have reviewed the ultrasound reports.
Although we do not have the actual 2008 scan report, it appears unchanged in 2011 compared to 2008 according to the radiologists' comments.
However, we have definite nodule sizes in 2015 and 2011. Comparing these two, the nodule has reduced by 60% in size i.e.in 2015, it is less than of its 2011 size.
This is generally considered a good sign.
The detailed 2015 report further describes the nodule characteristics as favouring a benign nature.
There are several features of a nodule on ultrasound which help assess its chances for cancer. The 2015 report is a good description of the nodule and has only one feature associated with thyroid cancer i.e. 'hypo echoic'
The vast majority ( 92 to 95%) of thyroid nodules are not cancer. In addition to ultrasound evaluation it is also important to take into account 'clinical' risk factors such as:
1 Do you have any family member with thyroid cancer?
2 Were you exposed to upper body radiation to the head/neck area such as radiation treatments for some upper body cancers?
3 Do you have any neck pain or difficulty speaking/ swallowing/ breathing or change in voice/hoarseness?
Follow up
Detailed Answer:
I have reviewed the ultrasound reports.
Although we do not have the actual 2008 scan report, it appears unchanged in 2011 compared to 2008 according to the radiologists' comments.
However, we have definite nodule sizes in 2015 and 2011. Comparing these two, the nodule has reduced by 60% in size i.e.in 2015, it is less than of its 2011 size.
This is generally considered a good sign.
The detailed 2015 report further describes the nodule characteristics as favouring a benign nature.
There are several features of a nodule on ultrasound which help assess its chances for cancer. The 2015 report is a good description of the nodule and has only one feature associated with thyroid cancer i.e. 'hypo echoic'
The vast majority ( 92 to 95%) of thyroid nodules are not cancer. In addition to ultrasound evaluation it is also important to take into account 'clinical' risk factors such as:
1 Do you have any family member with thyroid cancer?
2 Were you exposed to upper body radiation to the head/neck area such as radiation treatments for some upper body cancers?
3 Do you have any neck pain or difficulty speaking/ swallowing/ breathing or change in voice/hoarseness?
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have a brother that also has a thyroid nodule, no history of tyroid cancer in the family no radiation treatments other than a head ct which was normal and no pain in neck area no difficulty speaking no change in voice and breathing is ok so you are saying the nodule has shrunk is that correct? Do you recommed a fine needle aspiration or just keep monitoring it
Brief Answer:
Second Follow up
Detailed Answer:
I have noted your replies.
So you do not seem to have the conventional risk factors for thyroid cancer.
Yes the nodule has shrunk.
Regarding whether or not YOU should have a fine needle aspiration versus just monitoring, will require a joint decision making between you and your endocrinologist in person. This will give your doctor an opportunity to examine you thoroughly.
When I see someone with your type of profile in my practice, I offer them all choices including no action and even surgery. However, if the nodule characteristics are similar to yours.I would be okay if they chose to only monitor periodically with ultrasound.
Second Follow up
Detailed Answer:
I have noted your replies.
So you do not seem to have the conventional risk factors for thyroid cancer.
Yes the nodule has shrunk.
Regarding whether or not YOU should have a fine needle aspiration versus just monitoring, will require a joint decision making between you and your endocrinologist in person. This will give your doctor an opportunity to examine you thoroughly.
When I see someone with your type of profile in my practice, I offer them all choices including no action and even surgery. However, if the nodule characteristics are similar to yours.I would be okay if they chose to only monitor periodically with ultrasound.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
