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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 My Ultrasound Scan And Blood Test Reports Indicate?

My 17 yr old daughter had an ultrasound and blood work done. The US says, the thyroid gland is somewhat prominent and hyperemic suggesting thyroiditis. The blood test results were Thyroglobulin antibody 40.0 standard range Thyroid peroxidase ab 1.5 standard range 0.0-9.0 IU/mL TSH 1.690 Normal rate 0.400-5.140 IU/mL T4 free 0.95 Normal rate 0.65-2.30 ng/dL Does this mean anything specific?
Wed, 1 Mar 2023
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General & Family Physician 's  Response
Hi,

Your blood reports, which have been presented, are all in normal range. However, the report of your US is showing hyperemia of thyroid, most likely thyroiditis. Thyroiditis is a group of diseases of thyroid resulting in hyperemia/ inflammation of the thyroid gland.

By far the most common of this group of thyroiditis, Hoshimoto thyroiditis is more common. Usually a swelling in the thyroid gland, also known as goiter, is the presenting symptom in Hoshimoto thyroiditis. Here, US report of prominence of thyroid along with hyperemia may be a presenting symptom of Hoshimoto thyroiditis.

Management of Hoshimoto thyroid is by observation and monitoring the periodic level of thyroid hormones and trying to maintain it to normal levels, particularly level of TSH. However, if symptoms of pain, pressure on neck and breathing difficulties etc. become more distressing, then treatment by immuno-suppressant drugs or even surgery may be required.

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

Regards,
Dr. Satnarain Bansal, General & Family Physician
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What Do My Ultrasound Scan And Blood Test Reports Indicate?

Hi, Your blood reports, which have been presented, are all in normal range. However, the report of your US is showing hyperemia of thyroid, most likely thyroiditis. Thyroiditis is a group of diseases of thyroid resulting in hyperemia/ inflammation of the thyroid gland. By far the most common of this group of thyroiditis, Hoshimoto thyroiditis is more common. Usually a swelling in the thyroid gland, also known as goiter, is the presenting symptom in Hoshimoto thyroiditis. Here, US report of prominence of thyroid along with hyperemia may be a presenting symptom of Hoshimoto thyroiditis. Management of Hoshimoto thyroid is by observation and monitoring the periodic level of thyroid hormones and trying to maintain it to normal levels, particularly level of TSH. However, if symptoms of pain, pressure on neck and breathing difficulties etc. become more distressing, then treatment by immuno-suppressant drugs or even surgery may be required. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician