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Doctor insights on: Causes For Enlarged Thyroid T4 Tsh Test

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Thyroid Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?have Hypo symptoms

Thyroid Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?have Hypo symptoms

Elevated: TPO levels are associated with autoimmune thryroid disease/thryoiditis, for example Hashimoto disease. The thyroid US findings are also consistent with thyroiditis. Talk to your doc about next steps. ...Read more

Dr. Steve Martinez
317 doctors shared insights

Thyroid Enlargement (Definition)

Thyroid enlargement refers to a thyroid gland that is larger than normal. The thyroid gland is located in the front of the neck, below the Adam's apple, and may become enlarged due to hyper or hypo-thyroidism. An enlarged thyroid is also ...Read more


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I have many thyroid symptoms but my test is in the nor. Range TSH 1.35(nov) 1.45(jan) T4 1.16 T3 (liothyronine) 3.55 thyroid peroxidase (tpo) ab<6 antithyroglobul<20

I have many thyroid symptoms but my test is in the nor. Range TSH 1.35(nov) 1.45(jan) T4 1.16 T3 (liothyronine) 3.55 thyroid peroxidase (tpo) ab<6 antithyroglobul<20

Depends: Does not sound thyroid, although reverse T3 (liothyronine) was not checked. Could be adrenals, could be lyme. Could be vitamin deficiencies. More information: http://drfairchild.Blogspot.Com/2012/12/proper-thyroid-testing.Html http://drfairchild.Blogspot.Com/2012/12/b12-deficiency.Html. ...Read more

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High tsh- 5.5. Normal free T3 (liothyronine) & t4. Also normal total t3& t4. What causes this? Pituitary gland issue not thyroid?

High tsh- 5.5. Normal free T3 (liothyronine) & t4. Also normal total t3& t4. What causes this? Pituitary gland issue not thyroid?

May be normal: All lab results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Your TSH is at the upper end of normal and may be normal for you. You may discuss the issue of repeating the test in a year or so. ...Read more

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Enlarged thyroid but normal blood tests, treatment?

Enlarged thyroid but normal blood tests, treatment?

Incomplete info: How enlarged is thyroid? Any family history of goiter? Are you from an area where the soil is deficient in iodine? What were the actual results of blood tests? All lab results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. ...Read more

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Thyroid swelling. Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test-normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?

Thyroid swelling. Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test-normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?

Hard to say: Ive yet to have anyone NOT have elevated TPo but I havent sent many. The standard answer would be that it likley is GRAVES disease starting but if there arent a lot of symptoms and the labs are normal you wouldnt give treatment. Retesting if symptoms and at about every 3 months. ...Read more

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Inflammatory arthritis dx. Recent lethargy and cold intolerance. TSH and T4 normal but thyroid antibodies positive. Treatment for thyroid needed?

Inflammatory arthritis dx. Recent lethargy and cold intolerance. TSH and T4 normal but thyroid antibodies positive. Treatment for thyroid needed?

Endocrinology input: as this is a relative issue, depends on the levels and types of antibodies present, needs an expert in thyroid disorders to give you a definitive answer and a follow up plan, you can try first an Endocrinologist on HealthTap, good luck ...Read more

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Tpo >380 normal tsh t3 (liothyronine) t4 swollen thyroid for weeks and all symptoms of hypothyroidism, abnormal ultrasound. Does it mean I might become hypo soon?

Tpo >380 normal tsh t3 (liothyronine) t4 swollen thyroid for weeks and all symptoms of hypothyroidism, abnormal ultrasound. Does it mean I might become hypo soon?

Yes: The way we monitor the functioning of your thyroid gland is by measuring TSH(Thyroid Stimulating Hormone). As your thyroid gland in your neck produces less thyroid hormone (T3 (liothyronine) and T4) your pituitary gland at the base of yr brain signals it to make more by sending out more TSH. If you take thyroid hormone by mouth then the TSH goes down, like a seesaw. ...Read more

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Uptake scan shows overactive thyroid but tests are normal. Bulging eyes, fatigue, goiter, insomnia, dry skin. Tsh, t4, t3 (liothyronine) normal, whats causing symps?

Uptake scan shows overactive thyroid but tests are normal. Bulging eyes, fatigue, goiter, insomnia, dry skin. Tsh, t4, t3 (liothyronine) normal, whats causing symps?

Look for other cause: Hello Javae. Your symptoms are unlike due to hyperthyroidism since your labs are normal . Bulging eyes could be related to euthyroid Graves's disease . Thyroid Antibody level test could confirm that . You need further evaluation to determine cause of your symptoms ...Read more

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Suppressed TSH 0.02 for about two,months that I know of. Free T3 (liothyronine) and T4 Normal. Thyroid antibodies Normal. Thyroid ultrasound normal? Confused?help!

Suppressed TSH 0.02 for about two,months that I know of. Free T3 (liothyronine) and T4 Normal. Thyroid antibodies Normal. Thyroid ultrasound normal? Confused?help!

2 possibilities: Hi. This could still be a phase of a subacute thyroiditis, although the window of time on that possibility is closing. The other is one or more autonomously hyper-functioning nodules, which in NOT ruled out by your ultrasound. An 123-Iodine uptakes and scan would clarify the issue: VERY low uptakes in subacute thyroiditis, and normal uptakes with hot spot(s) on scan image in toxic nodule(s). ...Read more

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Tsh tests between 18 and 25. Over 8 months. T3 (liothyronine) and t4 good. Could there be underlying cause? Total thyroid removal 2014. Doc increased thyroxine

Tsh tests between 18 and 25. Over 8 months. T3 (liothyronine) and t4 good. Could there be underlying cause? Total thyroid removal 2014. Doc increased thyroxine

Increase thyroxine: As you have total thyroid removal , you need Thyroxine as replacement, Dose need to be adjusted based on TSH level, which is preferred to be 0.4 - 2.5. Celiac disease and IBS may cause variability in absorption of Thyroxine. ...Read more

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My T3 (liothyronine) is 101.80 ng/dl, T4 is 6.60 ug/dl, TSH is 1.460 uiu/ml. Is hypothyroidism still possible with normal thyroid hormone test results?

My T3 (liothyronine) is 101.80 ng/dl, T4 is 6.60 ug/dl, TSH is 1.460 uiu/ml. Is hypothyroidism still possible with normal thyroid hormone test results?

Normal: Your thyroid levels are normal. Despite what you may read on the internet or hear from "alternative" doctors, if your thyroid levels are normal, you do not have hypothyroidism. Don't let anybody tell you that normal is not normal. ...Read more

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Treatment for Graves' disease Can tonsil stones cause elevated T3 (liothyronine) T4 results?

Treatment for Graves' disease
Can tonsil stones cause elevated T3 (liothyronine) T4 results?

Tonsil stones: NO - tonsil stones are a conglamoration of material produced in the various "nooks and crannies" of the tonsils they are limited to the tonsils and do not effect the thyroid gland. As worse they can cause bad breath and pain. ...Read more

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What can cause low TSH of its not a Thyroid or pituitary problem? 0.01 TSH T3 (liothyronine) and T4 free normal, graves and hasmitos negative

What can cause low TSH of its not a Thyroid or pituitary problem? 0.01 TSH T3 (liothyronine) and T4 free normal, graves and hasmitos negative

2 possibilities: Hi. First of all, Hashimoto's doesn't cause a suppressed TSH, and YES, your TSH is SUPPRESSED, not "low", because your free T4 and total T3 (liothyronine) are "normal". A low TSH (pituitary defect) would cause low free T4 and possibly/probably low T3 (liothyronine). The most likely is a "hot" thyroid nodule (autonomously hyper-functioning); second most likely would be a phase of subacute thyroiditis. Follow over time to tell. ...Read more

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Can someone have an enlarged thyroid (not from nodules), but completely normal tsh, free T4 and T3 (liothyronine) studies?

Yes: The size of the thyroid does not relate to the function. People can have large thyroids with low, normal, or high thyroid levels. Most people with goiters (enlarged thyroid) have normal thyroid function. ...Read more

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TSH very low, thyroid nodules stable, endo doesn't know why, T3-4 normal neg antibody, what could be cause? Cea is 5.9

Toxic nodular goiter: The fact that your TSH level is low is consistent with overactive thyroid even if the T3 (liothyronine) & T4 are Normal. If your TSH is below 0.10 mIU/ML I suggest you start on Antithyroid medications. ...Read more

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Normal or sub clinical? Many symptoms/ fan history of hashi T3- 127 Anti thyroid- .9 Thyroid antibody- 2.2 T4- 1.2 TSH- 3.88

Looks normal: Hard to tell your units, but your labs look normal. Sub clinical hypothyroid would require your TSH to be abnormal. Your doc could consider repeating a TSH in a few months if there were continued concern of thyroidal illness. ...Read more

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Took thyroid test due to past palpitations. Lab result is T4 total 7.3, T3 (liothyronine) 43 (h), free thyroxine index 3.1, TSH 3rd gen .51 any worries here?

Took thyroid test due to past palpitations. Lab result is T4 total 7.3, T3 (liothyronine) 43 (h), free thyroxine index 3.1, TSH 3rd gen .51  any worries here?

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your TSH is within normal limits and there is not reason to worry. ...Read more

Dr. Quang Nguyen
947 doctors shared insights

Thyroid Stimulating Hormone (Definition)

A TSH test measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland and tells the thyroid gland to make and release the hormones thyroxine ...Read more


Dr. Barbara Lavi
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more