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

168 Doctors Online
Doctor Image
MD
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.
Dr. Manoranjan Chowhan

Radiologist, Nuclear Medicine

Practicing since :1991

Answered : 103 Questions

default
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
doctor
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
doctor
default
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 ....so according to u the Nodule are just due to Thyroiditi goitre although its getting bigger witin a year and feelin choke and chronjc cough?
doctor
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
doctor
premium_optimized

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 daughter c/o lumps on her ribs and sternum that hurts when she is ovulating. This causes her to become very anxious and concerned that she has a serious health disorder. I cannot find any real related information unless it is an autoimmune disorder family hx of hypothyroidism and celiac s

doctor1 MD

I am a Ph.D. chemist, ~50, have been taking thyroid medication since 1995, Since switching from T4 only to T3/T4 (25ug/75ug), I have seen a big improvement in cognition and then on switching to T3 (50ug) only (done this myself for just the past 3 days see and even better improvement when it comes to my attention span. In addition, I take meds for depression & anxiety. I have not experienced any unpleasant side effects of T3 only besides a little diarrhea--is this OK? ( I think somehow, my body has a greatly diminished ability to covert T4 to T3).

doctor1 MD

Hey, Im a 25 year old male. I have been having symptoms of hypothyroidism and a few of hyperthyroidism, such as cold hands and feet, sensitivity to cold, dry skin, I never sweat even when exercising, low heart rate ( 52 BPM resting) but also have social anxiety and nervousness. I recently had a blood test done at a near by lab for cheap. TSH     1.580 Thyroxine (T4)     8.2 ug/dL T3 Uptake     35% Free Thyroxine Index     2.9 Do you see any problems there? I can t go to a doctor because i have no health insurance and have no money. I also read that hypothyroidism can play a part in delayed puberty. I didn t see any development until i was 16/17 and still look very young and feel underdeveloped. Is there anything else that could cause these symptoms? Should I get more blood work done?

doctor1 MD

Hi , I am 20 weeks pregnant, my TSH level is 4.72 My physician tried to put me on Synthroid - 25 mcg ( but I took its generic version called Levothyroxine ) but due to some kind of Tachy cardia problem before, I could not continue this medication as it effected adversely on my heart beats and my heart beats race up to 3 times the normal and it took almost a week to get stable or a little normal... also wanted to mention that I took only 1/2 a tablet of 25 mcg of this medicine, which reacted instantly, so my doc asked me to stop it and to see a Cardio, all came normal when they did ultra sound of my heart and other check ups. Now my Physician asked me to try Thyronorm which I used to take in India prior my pregnancy , but she would like to know if this is safe to take during pregnancy , also please advice how much should be the right amount of dosage in my case.

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.