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What Does Multinodular Thyroid Disease Mean In A Thyroid Sonogram?
i had a thyroid sonogram and these where the impressions: multinodular thyroid disease with some associated cysts noted bilateraly. the largest nodular lesion is at the lower pole region of the left sided thyroid lobe.
within the right sided thyroid there is a small anechoic cystic structure projecting lateral to the mid pole region of the right sided thyroid lobe measuring 4 x 2 x 3 mm. it may represent a very small colloid cyst,laso within the right sided thyroid lobe anterosuperiorly, there is an heterogeneous in echotexture predominantly solid complex nodular lession measuring 9 x 6 x 8mm. within the lower pole region of the left sided thyroid lobe, there is a nodular predonimanthly solid heterogenous in echotexture nodular lesion with incomplete peripheral sonolucent halo measuring 21.0 x 13.0 x 16.mm
within the right sided thyroid there is a small anechoic cystic structure projecting lateral to the mid pole region of the right sided thyroid lobe measuring 4 x 2 x 3 mm. it may represent a very small colloid cyst,laso within the right sided thyroid lobe anterosuperiorly, there is an heterogeneous in echotexture predominantly solid complex nodular lession measuring 9 x 6 x 8mm. within the lower pole region of the left sided thyroid lobe, there is a nodular predonimanthly solid heterogenous in echotexture nodular lesion with incomplete peripheral sonolucent halo measuring 21.0 x 13.0 x 16.mm
Mon, 26 Sep 2016
Hello there,
Multinodular goitre (MNG), as the name suggests, is a disorder in which multiple nodule like structures develop in the thyroid gland. Mostly it is related to iodine deficiency, but with iodine fortification of salt, this cause has become less common. Other proposed reasons included goitrogens intake (compounds that can cause goitre), genetic reasons etc.
From the ultrasound characteristics you have described, I don't find anything suspicious for malignancy. But still an expert sonologist should be in a better position to give a final comment about that.
If thyroid function tests are abnormal, the patient is treated accordingly. But commonly thyroid function tests are usually normal. In such cases, surgical resection is done for cosmetic reasons. Surgery itself has its risks though.
Hope it helps.....
Multinodular goitre (MNG), as the name suggests, is a disorder in which multiple nodule like structures develop in the thyroid gland. Mostly it is related to iodine deficiency, but with iodine fortification of salt, this cause has become less common. Other proposed reasons included goitrogens intake (compounds that can cause goitre), genetic reasons etc.
From the ultrasound characteristics you have described, I don't find anything suspicious for malignancy. But still an expert sonologist should be in a better position to give a final comment about that.
If thyroid function tests are abnormal, the patient is treated accordingly. But commonly thyroid function tests are usually normal. In such cases, surgical resection is done for cosmetic reasons. Surgery itself has its risks though.
Hope it helps.....
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