Doctor insights on:
Enlarged pituitary, no adenoma. Neurological endocrine system disregulation incl. fluctuating thyroid hormone w/goiter (when high). High urine pH 9.0.
Is there a question:
here?? Resubmit...ask your question
Multinodular goiter: Hi. Your hyper-functioning nodule is producing thyroid hormone without pituitary regulation. Since you have multiple nodules, chances are they're all overproducing thyroid hormone (aka "hot" nodules). Your radio-iodine scan will tell. Any "cold" nodule of certain size will need to be evaluated to make sure it's not cancer (you may not have any cold nodules). Treatment with 131-Iodine is easy. ...Read more
Only occassionally: While almost all thyroid cancers are cold, so are most benign nodules. If the nodule is hot, it is extremely rare for it to be cancer. If it is cold and looks suspicious on an ultrasound performed or at least interpreted by a very experienced clinician, it should be biopsied to see if surgery is necessary. ...Read moreSee 2 more doctor answers
Thyroid gland is increased in vascularity suggestive of underlying thyroiditis.....
Tsh is normal?
Happens regularly: This picture is encountered relatively often. Think of it as if the thyroid is inflamed but still has enough reserve to produce adequate hormone. It can be seen in conditions like subclinical thyroiditis or in hashimoto's disease, after the thyroid is "burnt out" and doesn't produce elevated hormone, but before the hormone levels become low. See an endocrinologist for more information. ...Read more
Hormones: A tropic hormone is a hormone secreted by one gland and then stimulates another gland; for example, the pituitary makes TSH, which targets the thyroid and causes the thyroid to make T4 and T3 (liothyronine). The thyroid hormones (T4, T3 (liothyronine)) target other organs (heart, CNS, GI, etc), but not really other glands, so are not really tropic hormones. ...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
Thyroid nodules: A very small percentage of thyroid nodules can be cancer. That is why your doctor will examine them with ultrasound and perform needle aspiration biopsy on them. If the nodule is suspicious appearing, it may need to be surgically removed. However, most are harmless. You may need to see an endocrinologist. ...Read more
Well...: A thyroid nodule is technically not "benign" unless it's surgically removed and the pathologist found no cancer in the specimen. A nodule that is still in your neck could still be cancerous despite a "benign" biopsy because not all of the nodule is cancerous. Sometime it's just a speck that is cancerous and was missed during the biopsy. That's why it's important to continue to follow the nodule. ...Read moreSee 1 more doctor answer
Yes: All cells of thyroid origin secrete thyroglobulin. Measuring it to follow a cancer ONLY makes since if the whole thyroid has been removed. If you have anti thyroglobulin antibodies, that makes thyroglobulin measurements unreliable. However, rising or decreasing anti thyroglobulin antibodies can be a proxy for thyroglobulin measurements. ...Read moreSee 1 more doctor answer
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
Thyroid US- heterogenous thyroid parenchyma with hypervascularity, suggestive of underlying parenchymal disease, no discrete thyroid nodule. Meaning?
Thyroiditis?: Need correlation with thyroid function tests. Why did you have the ultrasound? Your doctor is the one to put this all together for you. ...Read more
Dysautonomia: Several, such as Adrenal fatigue, Headaches, Hypertension, Heart disease, Food sensitivities, Chronic fatigue, Fibromyalgia, Depression, Anxiety, Alcoholism, Compulsive overeating, Insomnia, Irritable bowel, Obesity, ADHD, Overactive bladder, PTSD, Alzheimer, Parkinson's disease, Excess sweating. ...Read more
thyroid u/s showed mildly heterogeneous echotexture of thyroid glan mild cervical lymphadenopathy small hypoechoic nodule rep parathyroid adenoma ?
Could be: It is difficult to reliably sonographically differentiate hashimoto thyroiditis from other thyroid pathology. Ultrasound features can be variable depending of the severity and phase of disease. A diffusely enlarged thyroid gland with a heterogeneous echotexture is a common sonographic presentation. ...Read more
Could: ACTH producing pituitary adenoma may cause psychiatric symptoms due to elevation of steroids. A large adenoma may impinge on brain structure and cause mental symptoms. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more