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Doctor insights on: Complex Mass Lobe Thyroid Gland

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Thyroid Gland (Definition)

It is an endocrine gland which produces thyroxin hormone which controls the metabolism in every cell in the body.It produces 80 to 90%t4 and 10 to 20 %t3. These control rate of metabolism and affect the growth and rate of functions of many cells in the body it is ...Read more


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Thyroid gland diffusely heterogeneous, with a 3mm cyst in left thyroid lobe, what does that mean??

Thyroid gland diffusely heterogeneous, with a 3mm cyst in left thyroid lobe, what does that mean??

Thyroidologist: Rather than being homogeneous, your thyroid composition is irregular with one cyst. The report does not suggest presence of a nodule or malignancy. A thyroidologist or endocrinologist is best qualified to evaluate and advise you about the significance of these findings and how to follow-up on them. ...Read more

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Is a hypodense lesion on the thyroid cancerous? I had an angiogram and it found a hypodense lesion on the left lobe of my thyroid gland.

Is a hypodense lesion on the thyroid cancerous? I had an angiogram and it found a hypodense lesion on the left lobe of my thyroid gland.

Maybe: Angiography is not good at defining thyroid pathology. You will usually need a thyroid ultrasound and possibly a fine needle biopsy. Thyroid nodules are common and the majority are ok, but definitely have it checked out. ...Read more

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Hi doc I am from philippines 50 yrs old please give some advice what is best medications of my hyperechoic thyroid gland. L -9.7cms r-9.4 cms lobes.

Hi doc I am from philippines 50 yrs old please give some advice what is best medications of my hyperechoic thyroid gland. L -9.7cms  r-9.4 cms lobes.

No medication : Unless your thyroid isn't functioning normally you don't need medication at this time, but your gland is quite large. You do need to see an endocrinologist, someone with expertise in thyroid for an evaluation. ...Read more

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Small thyroid, heterogenous in echotexture. no mass. ? small nodularity inferior lobe. RT nodule or heterogeneity gland. need interpretation

Small thyroid, heterogenous in echotexture. no mass. ? small nodularity inferior lobe. RT nodule or heterogeneity gland.  need interpretation

May need follow up : The provider who ordered the study should have been able to explain the findings to you and whether or not you need any follow up. There is a possibillity you may need a follow up test that looks at whether the areas of nodularity are active hormone producing tissue or whether they are cold spots in the thyroid. Cold spots often have to be looked at in more detail. ...Read more

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I have been diagnosed with one 7mm cyst on my right lobe of the thyroid gland and one of 9mm on the left lobe. Can this cause dizziness and choking?

I have been diagnosed with one 7mm cyst on my right lobe of the thyroid gland and one of 9mm on the left lobe.  Can this cause dizziness and choking?

No: Small thyroid nodules and cysts are common in the general population, especially women over age 40. These cysts usually have no clinical significance, and are too small to cause any symptoms. A 9mm cyst is the size of a pea. ...Read more

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Thyroid gland hyper functioning nodule right lobe multi nodular goiter. What does this all mean?

Thyroid gland hyper functioning nodule right lobe multi nodular goiter. What does this all mean?

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

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In follicular adenoma of thyroid gland , after lobectomy , is ther resk for other remaining lobe to develop follicular carcenoma ?

In follicular adenoma of thyroid gland , after lobectomy , is ther resk for other remaining lobe to develop follicular carcenoma ?

VERY LOW: In treating thyroid tumors the lesion present should be solitary and essentially cold on thyroid scan. At that time if surgery indicated should the lesion be relatively small and confined to one lobe it is possible to save the other lobe. Ca Dx is made when the adenoma shows evidence of follicular cells breaking the capsule. A second primary occurs in the other lobe in about 5% of patients ...Read more

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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

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Thyroid gland appears borderline small in size.Small 3x2x3 mm hypoechoic nodule of mid right thyroid lobe with some mild associated vascularity?

Common: Thyroid nodules are common. Your nodule is still very small. Nothing needs to be done right now. I recommend another ultrasound one year from now to monitor for size changes. ...Read more

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Heterogeneous appearance thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what does this mean?

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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What is diffusely heterogeneous thyroid gland mean? Also have a 5x5 mm calcified nodule in upper left thyroid lobe. Help me understand this? Thx.

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

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Ct results: low-density lesion in the left lobe of the thyroid gland likely reflecting a small region of colloidal degeneration or cyst more in nxt q?

Ct results: low-density lesion in the left lobe of the thyroid gland likely reflecting a small region of colloidal degeneration or cyst more in nxt q?

Likely benign: This sounds like a benign thyroid cyst; thyroid cancers are generally solid tumors. If there were any reason for concern your doctor would order a followup ultrasound or needle aspiration; this does not sound concerning. ...Read more

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I have trouble swallowing but not all the time. Sometimes I really have a hard time swallowling and other x no problem. I had CT scan show small calcific densities in right lobe of thyroid gland. Could this be the cause even though I don't kno what the ct

I have trouble swallowing but not all the time. Sometimes I really have a hard time swallowling and other x no problem. I had CT scan show small calcific densities in right lobe of thyroid gland. Could this be the cause even though I don't kno what the ct

Need evaluation: There are many possible causes for your current symptoms. Although the ct showed "small calcified densities in the thyroid", it still might not be the cause for your difficulty swallowing. The next step would be a thyroid u/s to see if these "densities" are in a nodule and to see how many nodules & how big they are. Get the ct result, sit down with your doc and discuss the next step of evaluation. ...Read more

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The right thyroid gland measures 3.7x2.1x1.7cm and the left measures 3.7x2.5x1.8cm with homogenous echo pattern .there are no mass seen.there are no ?

The right thyroid gland measures 3.7x2.1x1.7cm and the left measures 3.7x2.5x1.8cm with homogenous echo pattern .there are no mass seen.there are no ?

Is there a question?: Hi. I'm glad you have a normal thyroid ultrasound. Did you have a question? Why was the ultrasound ordered? Did your doc think he/she felt something abnormal? Please ask a question if you have one. Good luck! ...Read more

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Can you explain this statement?: The thyroid gland demonstrates heterogenous echotexture without a discrete mass or

Thyroid ultrasound: Your thyroid ultrasound was ordered by your doctor to evaluate an abnormal thyroid gland. Generally, we are looking for nodules or masses of concern. Happily no masses were seen. Heterogeneity is the characteristic of your gland showing variations in water content which would be expected findings in glands that are swollen or inflamed. ...Read more

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If I had a thyroid scan that read: left lobe of gland is mildly enlarged at 5.8cm x 1.7 x 2.2 . There is a avascular 3 mm hypoechoic nodule in the lower pole of the left lobe. How would I know if it was " hot or cold"?

If I had a thyroid scan that read: left lobe of gland is  mildly enlarged at 5.8cm x 1.7 x 2.2 .  There is a avascular 3 mm hypoechoic nodule in the lower pole of the left lobe. How would I know if it was " hot or cold"?

Ultrasound results: What you are describing are ultrasound results. A hypoechoic nodule of 3 mm of size is nearly 100% benign. The only reason to assess if a nodule is overactive (hot) or underactive (cold) is in general hyperthyroidism. If the nodule is hot, then it can be the target of therapy. This is done through a i-131 uptake and scan. ...Read more

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Subcentimeter complex cystic focus within or immediately adjacent to inferior posterior aspect of left thyroid lobe. Could be parathyroid gland? 8mm

Subcentimeter complex cystic focus within or immediately adjacent to inferior posterior aspect of left  thyroid lobe. Could be parathyroid  gland? 8mm

Could be: Go see your doctor to get your labs drawn. If calcium, parathyroid hormone and thyroid hormone are normal. Then all you have to do is follow this nodule with another u/s in the future (approximately 1 year) to make sure it's not changing. ...Read more

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Lobe (Definition)

1. A rounded projection, especially a rounded, projecting anatomical part. (for example, the lobe of an ear) 2. A subdivision of a bodily organ or part bounded by fissures, connective tissue, or other structural boundaries. (for example, a ...Read more


Dr. Al Hegab
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