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Thyroid test showed enlarged thyroid with parenchymal disease and non calcified solid nodules. What does this mean?

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the thyroid gland is enlarged right 5.5x3.7x3.0cm left 5.0x2.3x2.4 cm isthmus 4 mm parenchyma has hypoechoic with heterogenous echopattern non calcified nodules are noted, right mid 3.2x2.4 cm solid slightly hypoechoic with peripheral halo left upper 1.5x1.4cm solid isoechoic with peripheral halo IMPRESSIONS; enlarged thyroid with parenchymal disease and non calcified solid nodules, pls tell me the meaning
Posted Sat, 20 Jul 2013 in General Health
Answered by Dr. Anjana Rao Kavoor 2 hours later

Thanks for writing to us,

Thyroid ultrasound is an accurate method to study structure of the thyroid gland. I understand you have a swelling in the neck and hence were advised the ultrasound.

Thyroid is a gland in front of the neck, responsible mainly for growth, it has two parts, one on each side and both are connected by a thin bridge of thyroid tissue known as isthmus.

Your thyroid ultrasound findings are as follows: Both lobes of thyroid are enlarged as per the measurements given in the report. The right portion of your thyroid shows a 3.2 x 2.4 cm rounded area that is slightly darker than the rest of the thyroid gland. There is also another 1.5 x 1.4 cm area in left lobe showing slightly altered appearance than rest of the gland. These areas can be abnormal, that is functioning more or less than the rest of the gland. And to know the overall functioning of the thyroid, there are simple blood tests to know the normal level of thyroid hormones (T3, T4 and TSH) in the blood circulation. The thyroid function test values will tell if your thyroid if functioning more (hyperthyroid), less (hypothyroid) or normal (euthyroid) state.

Features mentioned in your thyroid would generally apply to a benign condition.

Most patients with these findings are first given medicines and the response is observed. If your surgeon, after having examined you clinically, still wants a pathological diagnosis, they will do a simple needle prick test (FNAC) and confirm diagnosis. The needle will be inserted for only about 5 seconds and is almost painless. If facilities are available, your doctor may recommend nuclear scan of thyroid and only then do needle prick test.

Hope this answers your query,

Dr. A. Rao. Kavoor

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