Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

158 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Does the thyroid report show any abnormality?

Answered by
Dr. Manoranjan Chowhan

Radiologist, Nuclear Medicine

Practicing since :1991

Answered : 103 Questions

Posted on Wed, 27 Nov 2013 in Thyroid Problem and Hormonal Problems
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. anti thyroid peroxidase blood test: 1300 KIU/L TSH : 5.12 MIU/L
Answered by Dr. Manoranjan Chowhan 5 hours later
Brief Answer: possibility of Thyroiditis Detailed Answer: As I come to know about your Ultrasound problem and the related lab result my view is that: You seem to be suffering from Multinodular goiter though one of the nodules is hypoechoic (that is on the left) and the other nodule is difficult as mentioned. Now as the Anti TPO antibody level is seen to be elevated though the TSH apparently looks to be in normal level. This implies that there is possibility of Thyroiditis (possibly) So the best course of action will be either to keep these nodules under observation (by doing serial ultrasound) to see if there is any change in size of the nodules or to undergo FNAC (called fine needle aspiration cytology). FNAC is best option to further know the character of these nodules and rule out possibility of any malignancy for your benefit. Hope this answers your concern. With thanks and best wishes from Dr Chowhan
Above answer was peer-reviewed by : Dr. Shanthi.E
Follow up: Dr. Manoranjan Chowhan 5 hours later
So the nodule are not tumor? Its just a goitre nodule due to Thyroiditis? I was diagnosed with hashimoto thyroiditis last year and the nodule are bigger and my tpo was still 1300 same as a year ago? So I shouldn't be worried its tumor? I have been having chronic cough with problem swollening as well as feeling choke? I have to wait a month to see specialist due to living in rehiomal area hard to get specialist according to u the Nodule are just due to Thyroiditi goitre although its getting bigger witin a year and feelin choke and chronjc cough?
Answered by Dr. Manoranjan Chowhan 18 hours later
Brief Answer: You undergo ultrasound guided FNAC Detailed Answer: As a follow up to your question: It was apparent that you suffered from Hashimoto’s Thyroiditis from your earlier history. Thyroid nodules in Hashimoto’s Thyroiditis is not uncommon and most are of benign nature, still to remove doubt of tumor (specially malignant tumor)you need to undergo ultrasound guided FNAC test which can clear this doubt. As you also mentioned that, the nodules are bigger in size since earlier check up. There is no hurry as of now, you may consult your treating Doctor a month later and you may undergo this test (FNAC of Thyroid nodules, it will remove the doubt that has been raised). After the test result is available, please communicate the same for further follow-up. With best wishes from Dr Chowhan
Above answer was peer-reviewed by : Dr. Shanthi.E

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Topics

Recent questions on  Thyroid disease

doctor1 MD

My TSH T4 blood work levels are in normal range. My hashimoto's was 232.0. My Doctor states this is fine even though I have thyroid systems - hair falling out, dry skin, tired, forgetfullness, etc. I had a partial thyroidectomy in 2000 for a goider and was hyperthyroid. Are these lab results ok, or should I see an Endocrynologyst?

doctor1 MD

hello im 27 yr old girl. i have fatigue always i cant raise a moderate weighing thing for a long time then my hands start shaking ive been experiencing stiffness and vibrations in my left leg when stand for some time and sort of muscle contractions also happens.and i also have trichorrhexisnodosa my hair breaks too much i have tested for thyroid it is normal my new doctor advised me another blood test for calcium cbc so and so and TSH again.....he said it can be calcium deficiency now i have another problem when at cold climate (not too cold here its India) dry throat and shortness of breath when cold air gets in. its like my throat muscles are stretching when i start talking so i cant talk too much it happens only in the cold seasons but it also happens when i talk laying down at night doctor said im havng problems with high humidity but i have no problems when i sit in ac room at other seasons.........

doctor1 MD

Hi, I have had a fluttery feeling in my throat off and on for a couple of weeks and /or palpitations.Also a sensation that there is something in there or in my upper chest. Heart rate is regular, no other symptoms. I am hypothyroid for many years. It is not severe, just bothers me and I worry what it is.

doctor1 MD

hi,i went through total thyroidectomy 3 months heart is beating hard and i feel like i will have a heart tsh level is normal..i take 125 mg of thyroxine daily..also i am 20 years old..why is my heart beating like i will get a heart attack?

doctor1 MD

Hi. A few days ago I started experiencing heart palpitations. I feel my heart fluttering in my chest and throat. It doesn't happen when I am moving around. It starts when I sit down, upright on the couch or in a chair. It stops when I lie down or...

doctor1 MD

I recently got AMA - Anti Microsomal Antibody test done. The range was supposed to be 34 as Positive. My reading showed a Value of 91. The lab person said this is very high. Can you plz let me know If I need to get any further tests done to know...

doctor1 MD

Thank you. About three weeks ago, I noticed a slight redness of skin at throat area. It waned and is now back on all over the front of my neck. The skin seems puffed and is very red. No small or large bumps on skin. My throat is mildly sore.