heterogeneous echotexture thyroid gland

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1 Answers
Dr. Yash K. Khanna answered:

I have a normal tsh and heterogeneous echotexture. Enlarged thyroid gland which I was told not to worry nothings wrong with my thyroid. Any advice?

Goiter

Inflammation_of_the_thyroid
Hterogenous thyroid can be due to simple goiter and may be associated with hyperthyriodism,hypothyroidism,thyroid nodule,thyroditis and thyroid cancer If you were told not to worry by your endocrinologist means they have ruled out treatable conditions
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Dr. John Yim answered:

What does diffusely enlarged heterogeneous thyroid gland mean?

Graves/Thyroiditis

Antibody
Most commonly this is due to Graves disease or thyroiditis. In both of these cases your immune system attacks your thyroid and tries to kill it, because it thinks it is foreign, like a virus. However in Graves disease the antibodies that attack the thyroid actually stimulate receptors that make it grow and produce too much thyroid hormone. In thyroiditis the immune cells infiltrate the thyroid.
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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.

Nodule

Autoimmune
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.
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Dr. David N. Dang answered:

I had a thyroid ultrasound and the findings indicated that the thyroid gland is borderline small. Impression, Small,heterogeneous what does this mean?

Thyroiditis

Thyroid_gland
This is a nonspecific findings. It, however, typically suggests sequelae of a prior inflammation of the thyroid gland, such as Hashimoto thyroiditis. After the acute inflammation, the thyroid gland becomes fibrosed and scarred and shrinks in size. What's more important is your thyroid function tests and that there were no report of any thyroid nodule to biopsy.
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What does heterogeneous echotexture of thyroid mean?

Thyroiditis?

Open-uri20131029-17971-1kbmxih
This is the description of the appearance of the thyroid on ultrasound and is most often seen in thyroiditis or inflammation of the thyroid. The exact cause requires that your doctor compare this to your history, exam and lab work.
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Dr. Kathleen Hands answered:

Thyroid labs in normal range,U/S showed several small cysts and mildly heterogeneous echotexture but been having many symptoms, runs in fam, c a endo?

What tests?

Thyroid
You may have normal TSH and free t 4 but still have anti thyroid antibodies. That would be called euthyroid hashimotos. So "normal" thyroid test doesn't tell whole story
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What causes this finding on u/s "Thyroid demonstrating mild heterogeneous echotexture of the parenchyma" -- my Dr said it was "fine" .My tsh is normal?

Possibilities

It means your thyroid is not as smooth as it should be. This could be normal or indicates autoimmune thyroid disease. Since your TSH is normal then no hurry but on the next blood test ask your doc to also check your thyroid antibodies.
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Dr. David Sneid answered:

Thyroid sono showed heterogeneous gland with multinodular goiter(positive Hashimoto's diagnosis;on Synthroid)-follow up sono when??

Biopsy

Synthroid
Have you had a biopsy? Discuss indications with your doctor. After negative biopsy repeat ultrasound and consider rebiopsy if nodules increase in size. Make sure you are on BRAND NAME thyroid replacement and your level is normal.
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Thyroid sono results:"Heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-What does this mean?

Lumpy!

Stringio
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.
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My 12 yo's thyroid sono came back w/3 nodule- each >1cm: 1)slightly hypoechoic heterogeneous, 2)heterogeneously isoechoic w/internal vascularity 3) hetergenously hypoechoic w/in gland. How bad is it?

Probably not

Thyroid_gland
This most likely represents benign findings but one of the nodules should be biopsied
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