Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
158 Doctors are Online

Having Hashimoto, Inhomogeneous parenchyma thyroid gland lymphnodes, nodules in thyroid lobes. Taking synthroid. Related?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 1980
Answered : 1 Question
Hi I'm an American living in Shanghai and did my annual Thyroid Ultrasound here. I have Hashimoto's and have been taking Synthroid daily for almost 2 years. The thyroid sonogram reads :

Both thyroid lobes have normal size and contour with inhomogeneous parenchyma. The right thyroid lobe measures 10X13 mm. The let thyroid lobe measures 12 X 13 mm. Isthmus is normal measuring 2 mm. There are multiple hypoechoic solid nodules, the largest one in the right lobe measures 4X3 mm in middle portion, and the largest one in the left lobe measures 6X5 mm at the middle portion. No XXXXXXX vascular flow are detected within these nodules.

There are several lymphnodes in the neck region, the largest one of 5X5 mm in the right neck region and the largest one of 5X4 mm in the left neck region, likely reactive.

Impression: Inhomogeneous parenchyma thyroid gland, several small solid nodules in bilateral thyroid lobes? Several reactive enlarged lymph nodes in neck region. Suggest clinical correlations and follow exam in 6 months and thyroid functional blood test for further evaluation if clinically indicated.

They had me very worried and made me contact my doctors in the US for a comparison scan but noone will tell me anything other than they are watching it for 6 mths. Chinese medicine is a little frightening.
Posted Mon, 13 May 2013 in Thyroid Problem and Hormonal Problems
Answered by Dr. Rahul Tawde 4 hours later
Thanks for writing in. You need to get Fine needle aspiration cytology of thyroid nodules and lymph nodes to rule out malignancy. If FNAC is suspicious better to undergo surgery - your doctor will be be able to decide on the need for surgery based on FNAC. If FNAC report is suggestive of benign etiology then regular follow up with Ultrasound every 6-12 months is necessary. Needless to say you have to get thyroid function tests atleast every 6 months if not more frequent. So further course will depend on the cause of the nodules whether its benign or malignant.
Hope this helps
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask an Endocrinologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor