Results of Ultrasound - need advise

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Question: I just received my results from my ultrasound of my thyroid and wanted to know if I should be worried or if this is normal.

findings: The thyroid is heterogeneous in echotexture bilaterally.  The right lobe of the thyroid measures 4.4x1.7x1.4 with multiple modules, largest 3 measured: Multiple nodules are identified in the right lobe are as follows: 1) Upper pole, 8x4x6 mm, solid, heterogeneous., 2) Interpolar - 8x4x7mm, cystic 3)Interpolar, 2.2x0.9x1.3 cm, solid with cystic components.

The left lobe of thyroid measures 5.6x1.5x1.7 cm with multiple nodules: Multiple nodules are identified in the left lobe are as follows 1) Upper pole, 5.2x4 mm, cystic with debris Upper pole, 4x3x4 mm, cystic with bright echo 3) lower pole, 3.3x1.9x1.9 cm (may be 2 adjacent nodules), solid , heterogeneous.

The isthmus measures 3mm

impression 1) the thyroid gland is enlarged and heterogeneous in echogenicity. 2) There are indeterminate nodules in both thyroid lobes 3) there are benign cystic nodules in both thyroid lobes.

Please advise if I should be concerned or is my thyroid normal.  Do I need to see a endocrinology or can my family doctor assist?

Thank you

 

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  • Posted

    Your family doctor would be the place to start. Are you having symptoms of thyroid disease such as tiredness, foggy head? What led you to get the ultrasound in the first place?

    Dr Google is another place to look for answers 😜.

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  • Posted

    Hi Robin, you should see an endocrinologist. However, if you are not complaining of symptoms, doctors will likely do nothing and allow your condition to reach advanced thyroid disease before treating. 

    You have modules of a heterogeneous nature on both sides of your thyroid gland. This is concerning. 

    Whether or not you’re able to get treatment from your doctors, you should empower yourself to prevent further deterioration of your thyroid gland with diet, supplements and alternative medical treatments including TCM. 

    I can tell you from decades of thyroid disease that it’s no fun. Prevention is the best treatment!

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    • Posted

      Hi MtViewCatherine - I do have a lot of symptoms and just thought the pain was from neck surgery I had years ago.  My neck, glands..etc are all large and painful.  I have been on a diet plan but only seem to gain weight every week.  I am not able to get control of this.

      I'm having a scan with nuclear done today.  They said this will show the function on the thyroid and also if there is cancer.  

      My doctor wants me to see an Ear, Nose and throat specialist.  Shouldn't I see a thyroid specialist, even if its not cancer?

      I'm very stress and concerned that is could be cancer.  I am a very strong woman and have had a lot of challenges in my past.  I pray this is one more item I can fight!

      Thank you for responding and everyone else that has reached out to me.

      It truly does help.

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    • Posted

      The inflammation in the neck area exacerbated thyroid problems. I have also experienced this. Ice and heat alternating help to reduce the inflammation, which helps thyroid function. I gave read quite a bit about injuries to the neck being connected with thyroid disease. I can tell you from personal experience that following whiplash injuries from car accidents, I find my thyroid medication doses need to increase. You might consider seeing a chiropractor for your neck, as it may help reduce the inflammation. Manual lymphatic drainage massage can also be helpful, as can acupuncture to reduce the inflammation.

      Once you get the inflammation reduced, you can see if the symptoms are reduced.

      The weight gain could indicate subclinical pancreatitis, gut or other problems related to thyroid disease.

      You should see an endocrinologist, as you have definite indications of hypothyroid disease- cysts, etc. 

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  • Posted

    Hi Robin90800 

    The scan result sounds very complicated. If it was me I would request a consultation with an endocrinologist who specialises in  thyroid conditions. 

    I wish you well with this

    Warm regards

    Tricia 

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  • Posted

    Did the radiologist grade any of the nodules? That could determine whether you need a biopsy. Don't be too scared about the results. Mine read like your's or even worse, but it came out fine with the biopsy.

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