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

165 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.

What does my nuclear thyroid test report indicate?

Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1416 Questions

default
Posted on Mon, 19 Oct 2015 in General Health
Question: I had a nucleur thryroid done and cannot understand the results nonfunctioning area upper pole of the right gland consistent with a non functioning adenoma 4 hour uptake normal 14.4% 24 hour uptake elevated 40.1% i have been off my synthroid for thirty days to prepare for ultrasound imaging imaging of the thyroid gland demonstrated no focal abnormalities. there is a photopenic area involving much of the righr upper thyroid gland. believe this corresponds to an approximately 4.5x3 cm mass in right thyroid gland this lesion biopsied 3 years ago negative this most likely reflects a nonfunctioning adenoma history f negative biopsy right lobe measures 4.x4cm x3.0cm x3.8 cm and is diffffusely heterogeneous echotexture. it contains a 1 cm cyst centrally
doctor
Answered by Dr. Binu Parameswaran Pillai 1 hour later
Brief Answer:
Right lobe mass

Detailed Answer:
Good day,

Noted your question. From the description, i gather that you have a right thyroid 4.5 x 3 cm mass in utrasound and the corresponding nuclear scan showed no uptake in that area which could mean a non functioning adenoma ( cold nodule).

I also gather that, you had a biospy from this nodule 3 years ago which was negative for cancer. Thyroid lobe has diffuse echoteture in ultrasound which probably indicate thyroiditis ( likely hashimoto's thyroditis).

The inference what an endocrinologist get from these two scans is that, you have a 4.5 x 3 cm cold nodule ( mass) in right lobe which need a biopsy if the size or character has changed ever since the last scan was done. If the character or size hasn't changed since last ultrasound scan, not to worry, but it need follow up.

It is a bit complex and i am more than happy to explain further if you need more clarification.

Regards
Binu


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Medical Procedures
Medical Topics

Recent questions on  Synthroid

doctor1 MD

Lately Ive Been Getting These Aches In My Legs& Arms, Not Serious Pain Just Achy And Bulging Veins Im On Synthroid 88mg Right Now, I Was On 75 But It Was Too Low & 100 Was Causing Chest Pains. I Had A Thyroidectomy In June Last Year I Have 1 Parathyroid Though.

doctor1 MD

I take Synthroid 0.112 mg daily. May I safely take Actialin in addition. I had my tryroid killed at age 27 with radio active iodine at the age of 28. I am now 66, and recently my Doctor lowered my Synthroid from 0.150 mg so that it would not overtax my organs?

doctor1 MD

I am 65 yrs. of age and both my cholesterol and triglycerides are elevated. Total cholesterol is 257. Triglycerides are 158. HDL cholesterol is 55. The dr. threw a sample of Crestor to me and gave me a prescription as well. I threw the Crestor in the trash. Started taking Cholestoff *Complete* which is for both dietary and genetic high cholesterol (made from plants) and am suppose to take two twice daily before meals. Also am eating 3/4 cup of Quaker Oat Meal w/ cinnamon sprinkled heavily over it each day and am on a low fat diet. Have been told that niacin also helps bring down cholesterol and am wondering if you would recommend taking it. I also take fish oil daily. Am interested in natural products for lowering it. Haven t been exercising appropriately and need to do that. Both of my parents had normal cholesterol levels but my grandmother passed due to a stroke. What is your recommendation and am I on the correct path? I am totally against statins due to their many side effects. I take medication for thyroid which is Synthroid and have no other major medical problems. Thank you very much

doctor1 MD

I am hypothyroid, have been since age 20. been on synthroid since then current dose 0.112mg. Did recent blood work. lymphocytes % 0.194 (range is 0.250-0.400) TSH is 2.18mUI/L FT4 is13.6pmol/L and FT3 3.7pmol/L. doctor since called me to see her in office. Should I be concerned?

doctor1 MD

I HAVE HAD HYPOTHYROIDISM FOR WHAT SEEMS LIKE FOREVER. I HAVE GONE TO MANY DIFFERENT DOCTORS AND ALL THEY DO IS GO BACK AND FORTH WITH THE DOSAGE OF SYNTHROID AND IN THE MEANTIME, I AM EXHAUSTED, MY JOINTS HURT, AT THE MOST RIDICULOUS TIMES-MY...

doctor1 MD

I am prediabetic; take fioricet for migraines (4 to 6 a day) and synthroid . Not overweight; female. Recently had a elevated GGT (248). Sonogram of the liver was good. All other liver functions were good. My diet is not as healthy as it should be....

doctor1 MD

azy and general I have been extremely tired not knowing why I am on 75 micrograms of Synthroid for my thyroid and Adderall for my concentration and lack of energy 25 mg of Adderall each day extended release but it does nothing at all unless I take...