I noticed a lump in my neck after my son was born (August ’09), and didn’t think much of it since pregnancy hormones can do weird things to your body, until it didn’t go away after a few months. I saw my PCP in May of ’10 and she drew labs and sent me for an ultrasound of my thyroid. The labs came back: TSH 2.299, Free T4 0.90. The u/s showed two complex right thyroid nodules, the larger measuring 2.8x1.5x1.7cm. The left lobe contaning a tiny hypoechoic region measuring 0.3x0.1x0.2cm. The isthmus had a left sided nodule measuring 0.4x0.2cm. She then sent me to have a biopsy, which was done also in May ’10 which was read: “Clinical History: 2.8cm solild/cystic nodule, right thyroid. Smears are of low overall cellularity. They show scattered groups of benign follicular epithelial cells and numerous histiocytes dispersed in a background of cyst fluid and colloid. No features of malignancy are identified. Consistent with a benign thyroid nodule with cystic change.”. I then saw an endocrinologist who basically said let’s follow up with an ultrasound in 6 months. Then the last few months I started noticing that I could feel the nodule when I swallow, and can even notice that it’s there when I’m not doing anything (just feels like I’ve got a lump in my throat), and sometimes feels like it’s hard to swallow. So, I found a new MD (I moved) and he rechecked my labs and ordered another u/s (all in July ’11). Labs came back: TSH 3.35, Free T4 1.0, TPO Antibody 35.1, Anti thyroglobulin 424.1. The u/s report describes a 2.8x1.9x1.6cm mixed ecogenicity mass in the right thyroid with cystic and solid components which probably represents a necrotic nodule. Also seen another cystic appearing 9x7x4mm nodule in the lower right lobe. A 2mm cystic nodule is seen in the left lobe. The other issue – I think I have some hypothyroid symptoms (and yes, I know my levels don’t show hypothyroid). - Family history of thyroid issues – both maternal grandparents had thyroid problems (one had thyroid cancer) - Unable to lose weight despite diet (same diet as 2 years ago when I was able to lose 35 lbs – I gained much of that weight back) - Constipation - Always tired (I realize I also have a 2 year old at home) - Aching joints and stiffness - Low mood/depression (not interested in doing a lot of things) - No libido - Memory is not as sharp as it was a few years ago (forgetful, having trouble finding words at times) - Dry eyes I told my new MD that I thought I had hypothyroid symptoms (not this list, just in general) and he said he didn’t want to treat because my labs were normal and he didn’t want to make my hyperthyroid. He has referred me to an endocrinologist, who I saw yesterday. I feel like he completely blew me off - didn t want to listen and said I just had thyroid cysts and we should follow up again in 6 months with labs and a visit. Am I just being paranoid, or is something going on with me that is being ignored?