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A 56-year-old female asked:

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

3 doctor answers3 doctors weighed in
Dr. Tracy Sinha
Allergy and Immunology 53 years experience
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).
Dr. David Sneid
Endocrinology 41 years experience
Biopsy: Have you had a biopsy? Discuss indications with your doctor. After negative biopsy repeat ultrasound and consider rebiopsy if nodules increase in size. Make sure you are on brand name thyroid replacement and your level is normal.
Dr. Yash Khanna
Family Medicine 57 years experience
Need clinical follow: You have multinodular goiter and positive for hashimoto antibodies, so it is auto immune condition and you are hypothyroid & thyroid replacement.You need regulat follow ups with repeat blood test fot tsh, T3 (liothyronine) and free t4.And if clinically the gland is getting large or you have symptoms related to the size of thyroid at the dicretion of the physician ultrasound may be repeated.Most multinodular not ca.

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Last updated Nov 2, 2019

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