Thanks for the query.
Though the symptoms that you mentioned may be due to thyroid disease
, she will need a detailed clinical examination and further test to confirm and treat the condition.
It would have been better if you had specified the units of thyroid hormones measures (free T3, freeT4 and TSH
) because if the TSH is in 'microIU/ml', the value 2.84 lies within normal range -that means she is not hypothyroid.
As you have mentioned, she has multinodular Goiter
and USG says there are 2 hypoechoic nodules in mid portion of right lobe apart from several colloid cysts (these are benign), a FNAC is required from the thyroid nodule
(FNAC guided) to rule out other possibility and accordingly a decision can be arrived at whether surgery is right option (As after surgery she has to be on replacement therapy with Thyroxine
for rest of her life) besides the trauma of surgery or can be managed with a conservative management.
Large multinodular goiter (MNG) can give rise pressure symptoms and particularly if there is retrosternal extension. In case 'MNG of Thyroid' is responsible for pressure symptoms then surgery will be required to treat it irrespective of FNAC report. Otherwise the decision of surgery should be taken after doing FNAC of Thyroid nodule.
As far as the cysts are concerned, if these are benign and simple cysts the same can be treated by simple aspiration.
In brief, all her current symptoms may not be linked to the thyroid gland especially when they are hardly noticeable. However further testing as described above need to be performed in order to safely proceed with the next steps of management (if at all needed).
I hope I am clear to you. Please write back if you have any enquiries.