Doctor insights on:
Echogenic Foci Thyroid
Have thyroid nodule 20 yrs with many U/S and FNA but U/S now shows scattered echogenic foci-calcify with increased vascularity - what does this mean?
Consistency: A lot depends on what has happened to this nodule over the last 20 yr. Any growth? Is the calcification new? The best scenario is where the US and FNA are all being done by the same person; sometimes the "reports" say different things when it is really not changed. Often the best person is an Endocrinologist who does this, rather than a radiologist who is not a thyroid specialist. ...Read moreSee 1 more doctor answer
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earlier stage. The "echogenic foci" are tiny gall stones along the wall of the gall bladder. This is also the stage at which the gallstone dissolving medications:
URSO, Ursodiol, or Actigall may be helpful along with optimize lipoproteins (not cholesterol, though is a high percentage of gallstones) using both LCHF (NOT LFHC) foods & statins (Crestor+Zetia best track record) & help dissolve these. ...Read more
Thyroid ultrasound: This sounds like the description of a normal thyroid gland. Normal echogenicity means the texture is normal. Bilateral = both sides. Isthmus is the thin strand of thyroid tissue between the 2 lobes. ...Read more
What do thyroid US results mean? Homogeneous echogenicity. Multiple nodules bilaterally, no cysts ID'd. Heterogeneous parenchyma w/bilateral nodules.
Thyroid nodules: Did they measure the largest nodules? Thyroid nodules are fairly common, and the vast majority of them are not cancerous, but if one is above 1 cm, a biopsy may be considered (there's some variation in how thyroid nodules are managed). Some can give you hyperthyroidism. I'd speak with your doctor or an endocrinologist about further steps. ...Read more
Usually gallstones: This is a description of ultrasound appearance of stones in your gallbladder. ...Read more
There is redemonstration of a 5 x 3 x 4 mm cyst in the lower pole of right thyroid with small echogenic focus that appears stable?
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
My diagnosis was: gallbladder is partially distended, showing two echogenic foci , not casting posterior acoustic shadowing , measuring 3.0 mm.
Polyp or cholesterol: Gall stones cast acoustic shadows , with out as you describing , may be polyps , which have high incidence of malignant transformation in a large polyp, or cholesterol deposits , causes severe cholecystitis. As in strawberry gb either way in a symptomatic case surgery advised please speak to your doctor. ...Read more
I am a trainee of radiology & have a query. "what can be the reasons of multiple tiny echogenic foci throughout the liver both central & peripheral.
Tiny echogenic foci: The most common cause of "tiny echogenic foci throughout the liver" is punctate calcification secondary to prior granulomatous infection. Certain organisms are more common depending on what part of the world the patient has lived. Alternative considerations include gas bubbles within the biliary tree (pneumobilia) or the portal veins. There are differentiating imaging features. ...Read more