Doctor insights on:
Complex Cystic Nodule In Right Thyroid Lobe
Ionized Calcium 4.65, PTH 133, Calcium 10.3, Vitamin D 7, Phosphorus 4.9, recurrent Kidney stones. Thyroid lobe, two parathyroids removed in 2004.
Uncertain: These test results don't add up to a straight forward answer. However, I would be concerned about the possibility of recurrent primary hyperparathyroidism. You should take Vit D to eliminate Vit D deficiency as a cause for high PTH levels. Once this is done, if you still have high PTH with high calcium levels, you have recurrent primary HPTH and will need surgery again. ...Read more
Mri shows that I have a cystic nodule of left thyroid lobe and a perineural tarlov cyst in left s2 (racepinephrine) neural foramen. Are these related? What are they?
Hot & cold cystic nodule 1 in ea thyroid lobe. T4/t3 high end normal. Tsh low, mild swelling & perimenopausal? Symptoms. Fna due. Diet suggestions. Ta
Yes.: I would recommend avoiding salt in order to decrease any swelling. Also, avoiding caffeine will help avoid palpitatins and d other symp symptoms related to high thyroid state. ...Read more
Rt thyroid lobe homogenous in echogenicity measures 5.6x1.7x1.8cm w/multiple nodules largest meas. 1.0x0.6x0.9 located in lower pole.?
Follow up needed:
There is much to be said and discussed about this finding but truthfully, you will be better served by consulting with your local doctor. I highly encourage you to follow up with your doctor as soon as possible to discuss further work up options to better define what is going on. Thank you for reaching out and hope you feel better soon! ...Read more
Watch/retest: Unless you have a thyroid cancer history, the nodule is suspicious on ultrasound or other factors are in play -- check serum thyroglobulin and thyroid function. Repeat doctor's exam an ultrasound in a year. Generally of very low significance and found in over 50% of the population. ...Read more
My left thyroid lobe is slightly enlarged and I have a vascular hypoechoic nodule measuring 5x4x3mm?
Just follow it: This sounds like something you just watch and see if anything changes. Most often there maybe a new one over the year. Goiters are like that. Small nodular findings are common. Would not worry about it but don't forget about it. It is at this time something to remember it's there. Talk to your doctor ...Read more
What do you suggest if my friend has a nodule on the right upper lobe & a hypodense lesion on her right thyroid lobe, so does?
What to do if I had a ultrasound done and was informed that What to do if I had a hard nodule on the lower pole of the right thyroid lobe.?
Mild enlargement of the right thyroid lobe without discrete nodules. There is a homogeneous appearance to the echotexture of the thyroid gland.????
Left thyroid lobe is 3x1.1x0.9cm. The nodule is 5x7x7mm with hypervascularity, microcalcifications and posterior capsule. What is the chance of cancer?
Solid nodule seen within the mid to inferior right thyroid lobe posteriorly, demonstrate internal vascularity as well as a few punctuate echogenic?
Thyroid nodule: It seems like you should probably have this taken out. ...Read more
What is diffusely heterogeneous thyroid gland mean? Also have a 5x5 mm calcified nodule in upper left thyroid lobe. Help me understand this? Thx.
Nodule: Heterogeneous gland means you don't have a smooth gland. This typical happens in pts with autoimmune thyroid disease where the gland is attacked by antibodies. Thyroid nodules are common and mostly benign. You have 1 nodule and it's very small. You can just watch it for now. See your doctor for more personalized explanation. ...Read more
I have 3 hyperechoic hetergenous nodules on left thyroid lobe. No symptoms normal blood work. Meeting with endo just week. Just nervous. Any ideas?
Probably normal: Nodules on the thyroid are most often benign and are common. I like that you are seeing an endocrinologist who could sort through the nodules to determine if any additional workup, such as a thyroid aspiration may be needed. Best of luck to you. ...Read more
On the right thyroid lobe In the upper pole and the midpole there is a 4mm cyst with associated calcification also in the midlateral pole there is an 3mm avascular hypoechoic nodule the isthmus measures 3mm without focal lesions. The left lobe is mildly e
The nodules you describe are quite small and most likely cause little, if any, harm.
If you feel OK and your thyroid lab levels are OK do not be disturbed.
I don't think biopsy of those small nodules would be easy. ...Read more
Hello I have been diagnosed with a small module on my left lower lung. A low density lesion on my liver and a 6mm nodule on my right thyroid lobe.?
See below: Such multiple findings as you describe are not uncommon on various imaging studies such as CT scans of the chest, abdomen, pelvis that include the thyroid, lung, liver, and kidneys where small sub-centimeter (<10 mm) nodules are commonly noted which are most often benign and clinically insignificant but which often deserve a follow-up study in 6-12 months. You should discuss this with your doctor. ...Read more
Two nodules, 1.9 and 1.8 CM on left thyroid lobe. 1st nodule is benign follicular. 2nd is abundant benign appearing follicular epithelial cells, hemosiderin-laden macrophages & colloid noted. Cancer?
Not cancer: Both nodules sound perfectly benign by their histologic description. Sonographic (ultrasound) follow-up is recommended in 12 months to ensure stability. ...Read more
Subcentimeter hypodense nodule on left thyroid lobe with coarse focus of calcification---subcentimeter left thyroid nodule. Non-specific in nature.
Thyroid nodules: Most nodules less than 1 cm are not concerning and can be monitored with periodic ultrasounds. Some features such as calcification may heighten concern. Much more information is necessary in your situation. Is there family history of thyroid cancer, personal history of hyper or hypothyroidism, and radiation exposure? You need to discuss this with an endocrinologist and arrange a treatment plan. ...Read more
I have enlaged right thyroid lobe with nodule. But my tsh, T3 (liothyronine) and T4 are within normal range. What do I do? Thank you!
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?
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 more
Subcentimeter complex cystic focus within or immediately adjacent to inferior posterior aspect of left thyroid lobe. Could be parathyroid gland? 8mm
Interval increase in size of 2 thyroid nodules-inferior pole- left thyroid lobe - (2.6x2.7cm prev. 1.9 x 1.7cm) since ultrasound 8 months ago, conce?
THe increase: Is a concern and you should talk with your doctor about a thyroid biopsy. Have them also review your lab and the ultrasound findings. ...Read more
What does it mean to have a solitary nodule with cystic degeneration in the left lobe of thyroid?
Please explain "left lobe of thyroid is 4.6x1.9x1.5cm & contains 9mm hypoechoic nodule at lower pole w/ small cystic component" mildly complicated. TY?
Thyroid u/s: 3x2x3mm cystic nodule, ill-defined 1.6x0.8x1.0cm hypoechoic nodule r lobe; 6x3x6mm solid, slightly hypoechoic nodule l lobe- next step?
Followup exam: By age 60, about one-half of all people have a thyroid nodule, found either through examination or with imaging. Over 90% of such nodules are benign. Hypoechoic noodules are usually cysts. A complex nodule over one cm. With blood flow should be biopsied. This can be performed by neeedle or core bx. Most nodules are asymptomatic. Follow up us examination in six months suggested. ...Read more
A 0.3 x 0.5 x 0.3 CM hypoechoic cystic nodule with punctate internal echo is noted in the lower pole of the right lobe of the thyroid gland.?
Small nodule: Often cystic thyroid nodules can have denser regions called "punctate foci". If the nodule is not cystic those can also be microcalcifications, a finding that increases the risk of thyroid cancer. The key though is that the nodule is very small and therefore requires monitoring only, no matter what its nature may be. ...Read more
Heterogeneous appearance thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what does this mean?
Possible biopsy: Many people have thyroid issues and have ultrasounds that can show a multitude of issues. Most findings are benign and typically are cysts. Biopsies are done routinely for solid nodules to make sure they are benign or not. You may require some thyroid replacement but thyroid blood tests are also required. She your primary or an endocrinologist since they specialize in thyroid issues. Good luck ...Read more
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