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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ultrasound Shows Thyroid Enlargement. Pain In Neck, Jaw, Shoulder, Hearing Impairment, Tremors. Diagnosis And Treatment?

I just received an ultra sound for thyroid:
57 year old female suspected thyromegaly
received a copy of the report and would like to know how to respond to the info received.
Real time and Color Dopler sonography of thyroid performed. Several intermittent nodules are seen throughout the thyroid gland right>left. Largest individual hypoechoic nodule is estimated at aproximately 6mm at margin of right ithmus with a larger lesion up to aproximately 10mm at the right upper to mid thyroid. Color Dopler flow remains within upper limits of normal diffusely. Overall contour appears lobular with borderline enlarged right thyroid measurements of 5.1x2.0x2.2cm and left thyroid 5.5x1.8x2.2cm
Impression: Mild Multinodular changes within thyroid gland with slight overall thyroid enlargement.

Symptoms Include: Neck, Jaw and Shoulder pain accompanied by hearing impairment in the right ear., tremors mostly on right hand, night sweats, anxiety, hoarse raspy voice, difficulty swallowing and breathing, frequent choking, painful to laugh and cough especially when looking up, armpit pain and swelling, more discomfort when lying down, stiff neck, taunt full feeling down chest arms and back.

I am schudeled by my Internal Medicine Doctor to have an Fine Needle proceedure performed by an ENT next week.
Can you give insight as to the diagnosis and who should I see for treatment?
Any information greatly appreciated.
Thank You,
Joyce
Thu, 5 Sep 2013
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Pathologist and Microbiologist 's  Response
Hi!
Welcome to HCM!
Your thyroid USG report suggests multiple nodules in thyroid.
associated symptoms reveal involvement of muscle and nerve on right side.
My advice is to get FNA done .FNA results are very important in your case.cause of multiple nodules can be benign but chances of malignancy are also there so wait for the FNAC results then it can be decided whom to see for the treatment.
hope this will help!
take care!
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Ultrasound Shows Thyroid Enlargement. Pain In Neck, Jaw, Shoulder, Hearing Impairment, Tremors. Diagnosis And Treatment?

Hi! Welcome to HCM! Your thyroid USG report suggests multiple nodules in thyroid. associated symptoms reveal involvement of muscle and nerve on right side. My advice is to get FNA done .FNA results are very important in your case.cause of multiple nodules can be benign but chances of malignancy are also there so wait for the FNAC results then it can be decided whom to see for the treatment. hope this will help! take care!