Doctor insights on:
Asymmetrical Enlarged Thyroid
Hashi's & hypo, controlled w/synthroid. U/s -enlarged thyroid w/enlarged lymphnodes. Painless swollen hard lymphnode under my ear. Possible diagnosis?
thyroid u/s showed mildly heterogeneous echotexture of thyroid glan mild cervical lymphadenopathy small hypoechoic nodule rep parathyroid adenoma ?
Graves/Thyroiditis: Most commonly this is due to graves disease or thyroiditis. In both of these cases your immune system attacks your thyroid and tries to kill it, because it thinks it is foreign, like a virus. However in graves disease the antibodies that attack the thyroid actually stimulate receptors that make it grow and produce too much thyroid hormone. In thyroiditis the immune cells infiltrate the thyroid. ...Read more
Chances lymphoma with no noticeable enlarged lymph nodes? CBC, CMP normal. CT normal- mildly enlarged spleen 13cm
Very Low chance: It is reassuring that there aren't any enlarged lymph nodes, and you have a normalCBC. If there is a lymphoma, it is a very hard to detect one. And it is not causing any problems to the body. I would leave it alone. Get a check up maybe in 6 months- just labs, ldh and a physical exam or ultrasound for the spleen. Spleen sizes also vary quite a lot, but good to keep an eye on it. ...Read more
"Heterogeneous hypo-echoic thyroid parenchyma with regional right side enlarged lymph nodes." appears in my thyroid Ultra sound test. What's this?
No simple answer: All that medical mumbo jumble is very clear to a physician but not so to the average person. You need to speak to your physician who ordered the ultrasound test so that he/she can easily explain the anatomy of what is going on and any consequences of this finding. It's too much to go over in this context. ...Read more
0.9 CM hypoechoic lymph node, left cervical neck. Diffusly enlarged pal. Tonsils. New swelling dr thinks thyroid? Opinion?
LN/ tonsils: Where is the swelling? How did the thyroid look like on imaging? What are thyroid functions/antibodis? The LN could be from the tonsils. Are you having a sore throat? strep?mononucleosis? ear infection? allergies? If your throat /allergies symptoms resolve over the next month or 2 and the LN does not then consider a LN biopsy, or thyroid biopsy if there are thyroid nodules. Discuss with doc ...Read more
Thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?
Lumpy!: Opinions vary, but... Especially for women, thyroid nodules are very common. These are sometimes familial or inherited and are sometimes more common later in life. There is little to worry about, especially without a specific "dominant" nodule over ~1cm. You should get thyroid blood work and a followup ultrasound within a few months. If the gland is huge, you may need treatment. ...Read moreSee 2 more doctor answers
Have heterogeneous hypoechoic nodule in upper left neck w/enlarged lymph nodes & heterogeneous hypoechoic nod left thyroid. 2x cancer surv. Concerned?
Complete the workup: Please follow your doctor's advice and complete the workup. The imaging findings described are concerning, and biopsy will probably be necessary to diagnose the problem. Thyroid nodules are common, and may not be related to the enlarged lymph nodes. It may also need to be biopsied. ...Read more
My thyroid u/s show mild cervical lymphadenopathy small nodule inferior posterior left lobe of thyroid Additional parathyroid adenoma/lymphadenopathy?
Specialists: These findings are best evaluated by a Thyroidologist/endocrinologist collaborating with a skilled head and neck surgeon. More than likely a needle biopsy of the thyroid nodule and possibly a ct scan of the neck will be recommended. The radiologist will thoroughly review these images with the specialists. ...Read more
Elevated TSH. Thyroid ultrasound results: "no significant enlargement but heterogeneous echotexture and small multinodular appearance." Please help?
Recommend thyroid hormone therapy and endocrine consult: Elevation in the TSH suggests a diagnosis of primary hypothyroidism. A free T4 level needs to be obtained. The ultrasound changes might be consistent with an underlying autoimmune thyroiditis such as Hashimoto's. I would recommend evaluation by an endocrinologist and initiation of thyroid hormone therapy if indicated. ...Read more
Many possibilities: An enlarged thyroid (goiter) has many causes and possible treatments. Is it causing hyper/hypothyroidism (i.e. Graves disease, toxic goiter)? Check tsh, ft4. Maybe anti-tpo. Is the goiter nodular or smooth? This may require an ultrasound, with biopsy of any suspicious nodules. Is it really big and impair your swallowing/breathing? Then maybe surgery. See your endocrinologist. ...Read more
Thyroid US shows 1cm nodule, heterogeeous, hypoechoic, irregular borders. Could this be malignant?
Need exam: Hard to know what you mean by swollen lymph nodes. These may be enlarged parathyroid glands, they may be lymph nodes draining an inflamed or cancerous thyroid. Sounds like you should see your doctor for a thorough examination. ...Read more
Norm. tsh, pth 103, tpo ab 839, calcium 383, abnormal thyroid/para-heterogeneous parenchymal echotexture-thyroid,no nodule,ill defined hypoecoic lesion posterior to rt thyroid lobe,ill def para nodule?
Clarify: Hi. Your PTH is high and MEN-1 in the family. That calcium makes no sense unless it's a 24-hour urine calcium, in which case it's high. What's your serum calcium? Your thyroid autoantibodies are high, and your thyroid function is normal. MEN-1 is not assoc. with autoimmune thyroid disease, so that looks like maybe an unrelated finding. Most MEN-1 patients get primary hyperparathyroidism before 57 ...Read moreSee 1 more doctor answer
Tsh @ 6.85, ft4 normal ultrasound: normal size, extremity heterogeneous, normal vascularity but irregular heterogeneous nodule 1.1x0.7x0.7cm. Cancer?
Not Likely: Thyroid nodules are very common. About 70% of the population has a nodule (many don't know it). About 5% of nodules are cancerous, which is why we care. If there were concerning characteristics on the ultrasound like microcalcifications, taller than wide, >1cm or increased blood flow or you have a family history or radiation exposure we like to perform an fna biopsy to check for cancer. ...Read moreSee 2 more doctor answers
Thyroid cancer: Yes if it had metatisized. (spread).Get a more detailed answer ›
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