Doctor insights on:
Bi Thyroid Goiter
Thyroid sono showed heterogeneous gland with multinodular goiter(positive hashimoto's diagnosis;on synthroid)-follow up sono when?
Levothyroxine.: Levothyroxine, generic form of synthroid, has many advantages over armour thyroid. The armour product has significant batch to batch variation and has T3 (liothyronine) in it. Since the T3 (liothyronine) portion of armour has a very quick onset and short duration, it can wreak havoc with the ability to effectively treat hypothyroidism. Until there is a long-acting form of T3 (liothyronine) available, stick to levothyroxine. ...Read moreSee 1 more doctor answer
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
Does multinodular goiter with slightly elevated thyroid antibodies possibly mean an autoimmune thyroid disease?
To some extent: If a goiter is due to primary hypothyroidism then levothyroxine allows TSH to come down thereby removing one source of goiter. However, patients with hashimoto's also have lymphocytic infiltration of the gland which contributes to goiter development also. That takes time to go down. We see this in patients with nl thyroid function also. Grave's antibodies stimulate thyroid growth mimicking tsh. ...Read more
Usually none.: If the follicular adenoma is causing hyperthyroidism (too much thyroid hormone), treatment is usually either surgery or radioactive iodine to kill the tumor. Thyroid-blocking meds such as Methimazole or ptu (propylthiouracil) may be used to lower thyroid levels before one of these other treatments. If thyroid levels are normal, no treatment is needed, but surgery is sometimes done to make sure the tumor is benign. ...Read moreSee 1 more doctor answer
Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?
Surgery or...: A repeat biopsy combined with an afirma assay test may give you somewhat better guidance, but with your history and risk factors, surgery may be the best option. By the way, why are you taking generic T4 an Armour Thyroid together? There is no way to monitor the dosage properly as the lab tests will be unreliable. Brand name T4 is better, safer and more reliable. ...Read more
Normal Tpo Ab and Tg Ab; no Hashi's or Graves'. Have a multinodular goiter & Hypothyroidism.
If not Hashi's, what causes my Hypothyroidism? Pituitary?
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
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 u/s showed mildly heterogeneous echotexture of thyroid glan mild cervical lymphadenopathy small hypoechoic nodule rep parathyroid adenoma ?
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 U/S showed L thyroid gland heterogeneous hypoechoic nodule w/ mind internal vascularity. what does all this mean? FNA recommended.
Means abnormal test: Ultrasound is a commonly used test for detection of Throid nodules which are quite common. So when the ultrasound shows a Thyroid nodule, it needs to be monitored and often a Biopsy is required to find out if the nodule is benign or cancerous. FNA is one such technique for obtaining a biopsy for making a diagnosis. ...Read more
Thyroid us: diffusely heterogeneous thyroid w/o well-defined dominant nodule, isthmus enlarged. Thyroid ab tests are neg, tg = 88.7 (<55). Diagnosis?
Nodules hypothyroid: The most common cause of low thyroid is autoimmune Hashimoto's thyroiditis. The lumps in the thyroid can and do exist with the Hashimoto's but don't cause the underlying problem. It is possible that a thyroid gland can become so full of thyroid nodules that it becomes unfunctional, but this is unusual. ...Read moreSee 1 more doctor answer
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