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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Multiple Bilateral Subcentimeter Thyroid Nodules Mean?

MR#: 0000 Account#: 0000 Accession#: 0000 Exam Date: 06/29/2015 Ordered by: BRANT, KRISTIN INDICATION: DYSPHAGIA. ULTRASOUND OF THE THYROID: FINDINGS: The thyroid is normal in size. The right lobe is about 1.3 x 2.0 x 4.3 cm and the left lobe about 1.2 x 1.4 x 4.8 cm. The thyroid echotexture is heterogeneous with normal thyroid blood flow. There are multiple small hypoechoic and complex nodules scattered in both thyroid lobes. The three largest on the right are all at the lower pole. Two hypoechoic 0.4 and 0.5 cm and one complex 0.5 cm. On the left, the three largest nodules are two in the mid thyroid, hypoechoic 0.3 and 0.8 cm and complex at the lower pole 0.7 cm. IMPRESSION: Multiple bilateral subcentimeter thyroid nodules. TIME OF DICTATION: 1258 Signed by: WOLFE, PATRICK Date: 06/29/2015 14:36
Mon, 28 Sep 2020
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General Surgeon,  's  Response
Hi,

Based on the echographic images, normal sizes of gland, sub-centimeter nodules the most probable diagnose is Hashimoto thyroiditis which frequently is verified by blood tests of TPO antibodies combined with higher levels of TSH. Anyway, a biopsy performed by your endocrinologist as a fine needle aspiration is required to exclude any malignancy which is not typical with smaller nodules than 1 cm.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Julinda Maksuti, General Surgeon
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What Do Multiple Bilateral Subcentimeter Thyroid Nodules Mean?

Hi, Based on the echographic images, normal sizes of gland, sub-centimeter nodules the most probable diagnose is Hashimoto thyroiditis which frequently is verified by blood tests of TPO antibodies combined with higher levels of TSH. Anyway, a biopsy performed by your endocrinologist as a fine needle aspiration is required to exclude any malignancy which is not typical with smaller nodules than 1 cm. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Julinda Maksuti, General Surgeon