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What Does Enlarged Thyroid In An Ultrasound Report Indicate?

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Posted on Tue, 23 Jun 2015
Question: Tsh is 0.06 . Thyroid ultrasound showed enlarged thyroid, diffuse heterogenous echotexture. What does all of this mean?
doctor
Answered by Dr. Sameer Kumar (22 minutes later)
you have hyperthyroidism. what are the t3 and t4 levels.
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (30 minutes later)
Normal
doctor
Answered by Dr. Sameer Kumar (5 hours later)
Brief Answer:
answered

Detailed Answer:
Hello,
If t3 and t4 are normal then hyperthyroidism is also ruled out. I would like you to attach the report of ultrasound for me to interpret in detail.
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sameer Kumar (5 hours later)
So what is wrong with mu thyroid?
doctor
Answered by Dr. Sameer Kumar (1 hour later)
Brief Answer:
its a normal thyroid scan...explained.

Detailed Answer:
Hello,
The normal thyroid weighs approximately 15 to 25 g, with each lobe 4 to 6 cm in length and 1.3 to 1.8 cm in thickness. The isthmus measures less than 4 to 5 mm.
I have gone through the ultrasound and considering the above parameters your thyroid is not enlarged at all , intact its a perfectly normal size and as you are asymptomatic there is nothing to be worried about.
Diffuse heterozenous echotexture is a normal ultrasound finding in thyroid tissue and hence no need to be worried with your thyroid hormone levels normal.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sameer Kumar (6 hours later)
So why is my tsh 0.06
doctor
Answered by Dr. Sameer Kumar (5 hours later)
Brief Answer:
SUBLINICAL HYPERTHYROIDISM

Detailed Answer:
hello,
Low TSH and normal t3/t4 levels may indicate subclinical hyperthyroidism which is defined as cases where there are no clear symptoms or physical signs of hyperthyroidism on history and physical examination, but the blood level of TSH is low, and T3/T4 levels are normal.
Following test should be done to confirmatively rule it out:-
Thyroid uptake scanning is used to determine if the thyroid is making too much thyroid hormone, leading to a high, or "hot" uptake scan versus if the thyroid is being destroyed (as in thyroiditis), in which case the scan will be a low, or "cold" uptake scan.
Thyroid hormone therapy is the most common cause but multinodular goitre is the most common cause of endogenous subclinical hyperthyroidism.
You may get evaluated by your physician for the same and as there have been different consensus prevailing regarding treatment of symptomatic cases only or no treatment at all, the decision can be taken based on a general examination of cardiovascular and musculoskeletal system as well which can stand affected by thyroid levels.
Regards
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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What Does Enlarged Thyroid In An Ultrasound Report Indicate?

you have hyperthyroidism. what are the t3 and t4 levels. regards