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What Does This Ultrasound Showing Thyroid Nodules Indicate?

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Posted on Fri, 17 Apr 2015
Question: Done blood test tsh .3258( .35- 4.94) again blood test came back tsh .4429 ft3 2.03(1.7-3.71) ft4 .8 (.7-1.48) Us it sows well defined nodules
-a complex predominanty solid wit cyst 4.1x 9.4mm in upper aspect left thyroed lobe
-a complex solid/cystic nodel 5x6.8 mm at the mid aspect of left lobe
-a complex predominantly solid nodule 6x6.2 mm upper aspect of right lobe
-a complex solid/cystic nodule measuring 9x10.2 mm is seen at lower aspect of the right thyroid lobe with prominent vascularity of the central solid component
Right lobe 57.7x13.6x14.1 left 50.4 x13.5x11.7 isthmus 1.5 mm thick . Biopsy of right lower thyroid nodel should be considers if clinicaly indicated
My doctor done radioscan thyroid uptake 1.7%(.3-3)
2cold nodules in left lobe upper and lateral aspect another in upper pole of right lobe the rest revealed uniform tracer uptake no retrosternal extension
Impression mng with multable nodules in left and right wit diffuse goite
My doctor wants FNA on the cold ones though r smaller than 1 cm should i go for that or just observe
I am 22 years femail with irregular period for 2 months I exoerinced this last year also but blood test was ok on Primolut-Nor Medication given for 1 week
doctor
Answered by Dr. Shehzad Topiwala (2 hours later)
Brief Answer:
Thyroid nodule

Detailed Answer:
Do you have a family history of thyroid cancer?

Were you exposed to upper body radiation such as treatments for head/neck cancer?

If the answers to any of the above 2 questions is yes then you are at a higher risk of thyroid cancer compared to those without. In this case biopsy of the cold nodules as well as the other one which is close to 1 cm in size, should be considered.

Generally recent guidelines shy away from use of scan when the TSH is normal. But now that it has been done in your case, the cold nodules will always present the consideration for biopsy even though you may not have other risk factors
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Does This Ultrasound Showing Thyroid Nodules Indicate?

Brief Answer: Thyroid nodule Detailed Answer: Do you have a family history of thyroid cancer? Were you exposed to upper body radiation such as treatments for head/neck cancer? If the answers to any of the above 2 questions is yes then you are at a higher risk of thyroid cancer compared to those without. In this case biopsy of the cold nodules as well as the other one which is close to 1 cm in size, should be considered. Generally recent guidelines shy away from use of scan when the TSH is normal. But now that it has been done in your case, the cold nodules will always present the consideration for biopsy even though you may not have other risk factors