Question 1

solid hypoechoic heterogeneous nodule. 2.5cm & 1.5 cm. multinodular goiter.  no dominant nodule wasn't cold or hot what does this mean?

Accepted Answer

Needle biopsy: It sounds like you've had a thyroid ultrasound and a thyroid uptake scan. Most thyroid nodules are not cancerous, but it's recommended that nodules that look suspicious or larger than a certain size get a needle biopsy. Also called a fine needle aspiration.

Question 2

thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?

Accepted Answer

Possibly autoimmune: Heterogeneous texture is an ultrasound description of thyroid tissue that looks irregular, as if there are many small nodules.  This is a common finding in people with autoimmune thyroid disease, such as hashimoto's thyroiditis.  It is important to make sure that thyroid function is normal.

Question 3

how often should a thyroid sonogram be repeated? sono done 1 year ago showed heterogeneous multinodular goiter.

Accepted Answer

It depends: Upon a variety of factors, such as clinical changes, palpation by physician, prior ultrasound and lab findings, biopsy findings (if biopsy was done), personal and family history etc. Check w/your physician who should be able to tell you. Brand name T4 replacement is more reliable than your generic.

Question 4

thyroid sono showed heterogeneous gland with multinodular goiter(positive hashimoto's diagnosis;on synthroid)-follow up sono when?

Accepted Answer

10---15  days: You  have  autoimmune  hypothyroidism  and   need  to  to  be  seen  by  an  endocrinologist  ,  who  want  to  be  sure  cold  or  hot  nodules  and  act  accordingly   and  adjust  synthroid (thyroxine).

Question 5

sono showed dominant nodule is a heterogeneous nodule. evidence of hypoechoic on left and right lobes. multinodular goiter with all nodules over 1cm. can this be thyroid cancer.

Accepted Answer

Thyroidologist: Multinodular thyroid nodules are usually benign, but a thyroidologist is best qualified to advise you on whether any of them should be biopsied(needle biopsy)..

Question 6

explain please: "heterogenous micronodular thyroid...suspect multinodular goiter"? do i need to see a specialist or is my physician's assistant good?

Accepted Answer

Depends: If there are no nodules over one centimeter and your hormone levels are good then no specialist needed.

Question 7

heterogeneously diffusely enlarged gland without focal nodule. diffuse goiter and thyroiditis are consideration.-ultrasound report. normal thyroid levels. my dr. is predicting it will go hashimoto's, i do not know why graves is not being considered?

Accepted Answer

: That ultrasound pattern doesn't differentiate between thyroiditis and Grave's disease.  Since you have no laboratory  confirmation of Grave's disease, I believe thyroiditis is more likely and this usually morphs into eventual Hashimotos and hypothyroidism rather than into hyperthyroidism. An endocrinologist can advise you best though.

Question 8

is goiter hereditary?

Accepted Answer

Goiter: Some goiters are present in several family members and some are not. If you are concerned about getting it yourself because others in the family have been diagnosed with this in the past. Have your PCP check your thyroid (physical exam) and order appropriate lab studies and if it is OK don't worry but get the same labs done annually.

Question 9

how is goiter managed?

Accepted Answer

Depends: If there are nodules that are suspicious for cancer, surgery will be indicated to provide final diagnosis and definitive treatment.  If not, you may be able to manage this with medication.  
Your healthcare provider should talk to you about the options including whether you should also consult with an endocrinologist.

Question 10

how to control a goiter?

Accepted Answer

Depends on type: A goiter, or enlarged thyroid gland, may result from: hypothyroidism, iodine (i) deficiency, thyroid nodules, or graves' disease. Thyroid hormone and i replacement can control goiter associated with hypothyroidism and i deficiency respectively. Radioactive i-131 treatment can shrink the goiter and lower thyroid function in nodular disease or graves', although some patients need surgery to do this.

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Doctor answers about:

What is a heterogeneous goiter

A member asked:

Solid hypoechoic heterogeneous nodule. 2.5cm & 1.5 cm. multinodular goiter. no dominant nodule wasn't cold or hot what does this mean?

A member asked:

Thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?

A member asked:

How often should a thyroid sonogram be repeated? sono done 1 year ago showed heterogeneous multinodular goiter.

A member asked:

Thyroid sono showed heterogeneous gland with multinodular goiter(positive hashimoto's diagnosis;on synthroid)-follow up sono when?

A member asked:

Sono showed dominant nodule is a heterogeneous nodule. evidence of hypoechoic on left and right lobes. multinodular goiter with all nodules over 1cm. can this be thyroid cancer.

A member asked:

Explain please: "heterogenous micronodular thyroid...suspect multinodular goiter"? do i need to see a specialist or is my physician's assistant good?

A member asked:

Heterogeneously diffusely enlarged gland without focal nodule. diffuse goiter and thyroiditis are consideration.-ultrasound report. normal thyroid levels. my dr. is predicting it will go hashimoto's, i do not know why graves is not being considered?

A member asked:

Is goiter hereditary?

A member asked:

How is goiter managed?

A member asked:

How to control a goiter?

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