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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does bulky thyroid lobe mean?

Can you help me understand what this means? I am trying to set up an appt with an Endo. waiting for a call back, but this is driving me crazy as know one has explained it to me. Thank you! TECHNIQUE: 2-D grayscale and color Doppler ultrasound imaging of the thyroid gland. FINDINGS: The right thyroid lobe measures approximately 4.8 x 1.7 x 2.0 cm. The right thyroid lobe is bulky and nodular with heterogeneous parenchyma. Numerous ill-defined hypoechoic nodules are noted throughout. No significant increased vascularity noted on color Doppler imaging. The left thyroid lobe measures approximately 4.5 x 1.1 x 1.9 cm. The left thyroid lobe is bulky and nodular with heterogeneous parenchyma. Numerous ill-defined hypoechoic nodules are noted throughout. No significant increased vascularity noted on color Doppler imaging. The thyroid isthmus measures up to 3 mm in thickness. Heterogeneous echogenicity the thyroid isthmus with 2 discrete circumscribed, heterogeneous, predominately hypoechoic nodules. Along the right lateral isthmus it is a 10 x 18 x 4 mm hypoechoic nodule without internal vascular flow, cystic degeneration, or calcification. Along the left lateral isthmus is a 13 x 22 x 8 mm heterogeneous nodule without internal flow, cystic degeneration, or calcification. IMPRESSION: Multinodular goiter. Recommend endocrinology consultation and correlation with thyroid serologies.
Mon, 6 Apr 2015
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Endocrinologist 's  Response
Good day,
Noted your concern. Noted the ultrasound findings. The findings suggest that your thyroid gland is enlarged in size. The multiple nodules which is explained could be true nodules of a multinodular goiter or pseudo nodules of thyroiditis. Overall ultrasound description is suggestive of thyroiditis.
A more detailed analysis can only made after seeing the images of scan. Have you had a thyroid blood work done? You may post the ultrasound images and Thyroid blood work reports to
http://doctor.healthcaremagic.com/doctors/dr-binu-parameswaran-pillai/67401

I can have a look at them and provide you with more detailed answer
Regards
Binu

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