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Doctor insights on: Heterogeneous Left Thyroid Lobe

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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.

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

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


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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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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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1.5x0.6x1.1.1cm ill defined heterogeneous hypoechoic area w/internal vascularity no calcification found on heterogeneous right thyroid lobe. Explain?

1.5x0.6x1.1.1cm ill defined heterogeneous hypoechoic area w/internal vascularity no calcification found on heterogeneous right thyroid lobe. Explain?

Thyroid nodule: You need to see your endocrinologist for interpretation of this. A 1.5 cm thyroid nodule probably should be biopsied, although the likeihood of this being cancer is low (probably less than 10%). A nodule among a multinodular gland is less of a concern, as is a nodule in a hashimotos gland. All this needs to be examined. ...Read more

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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?

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?

Clarify: 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

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Solitary subcentimeter nodule in the left thyroid lobe?

Solitary subcentimeter nodule in the left thyroid lobe?

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

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Are these dimensions normal thyroid size? Right thyroid lobe: sagittal 59mm x trans. 16mm x ap 13 mm; left thyroid love: 49mm x 13mm x 12mm

Are these dimensions normal thyroid size? Right thyroid lobe: sagittal 59mm x trans. 16mm x ap 13 mm; left thyroid love: 49mm x 13mm x 12mm

Hard to say: There are no consistent standards for the size of a normal thyroid on ultrasound, as there is a lot of variation in how one measures the size. Nevertheless the length of your thyroid is somewhat larger than most people. The volume is more important, but this is hard to estimate from simple dimensions. Overall size is not important, function is (tsh, free t4). ...Read more

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FMy right thyroid lobe measures 5.7 x 3.1 x 3.6 and the left thyroid lobe measures 6.0 x 2.8 x 2.8 CM in dimensions. The thyroid isthmus measures 0.8 c?

Normal: Hi. Yep, sounds pretty darn normal. Was there a question associated with that, or are you just proud of your thyroid??? ...Read more

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Should I be concerned if on a scan they found a left thyroid lobe to be asymmetrically enlarged when I have had a ultra sound with in the last 6 monh?

Should I be concerned if on a scan they found a left thyroid lobe to be asymmetrically enlarged when I have had a ultra sound with in the last 6 monh?

There is not: Enough information. Was there an interval change between the two scans? How large is the size discrepancy? There can be some normal variability in size between the two lobes. ...Read more

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My left thyroid lobe is slightly enlarged and I have a vascular hypoechoic nodule measuring 5x4x3mm?

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

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2.5x1.5x2.1cm, well-defined, complex cystic focus is noted in my left thyroid lobe. Is this malignant?

Biopsy: Something this size with complex cystic characteristic should probably be biopsied. Please see your doctor to discuss. In general, the risk of cancer is only approx. 5 %. No need to panic but should get it evaluated. ...Read more

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Thyroid ultrasound The right thyroid lobe measures 4.7 x 1.6 x 2.4cm. The thyroid isthmus measures 7mm. The left thyroid lobe measures 5.2 x 1.6 x 1.7cm?

Thyroid ultrasound The right thyroid lobe measures 4.7 x 1.6 x 2.4cm. The thyroid isthmus measures 7mm. The left thyroid lobe measures 5.2 x 1.6 x 1.7cm?

Thyroid: We don't know anything about you to try to make sense of the measurements you are giving us? How tall or how gig are you? Why did you have a thyroid ultrasound? Were there any nodules? Where do you live? Is there visible enlargement of your thyroid gland? You need to speak to the doctor that prescribed the ultrasound to answer your specific questions. ...Read more

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Left thyroid lobe is 3x1.1x0.9cm. The nodule is 5x7x7mm with hypervascularity, microcalcifications and posterior capsule. What is the chance of cancer?

Left thyroid lobe is 3x1.1x0.9cm. The nodule is 5x7x7mm with hypervascularity, microcalcifications and posterior capsule. What is the chance of cancer?

About 5-10%: Over 90% of nodules are benign. The risk is higher in someone with a family history of thyroid cancer and in people who have had significant exposure to radiation. ...Read more

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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

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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

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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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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.?

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

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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

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A "hypo-dense foci in the left thyroid lobe" was found during CT w/ contrast of head and neck. What does this mean?

Hypo:Low; Hyper:High: Most medical terminology just descriptive, not implying any great understanding or insight. Foci means “spot”, location. Go slow, look up terms. The thyroid is a cystic gland, i.e. Cells which manufacture & secrete proteins into the water around the cells & producing accumulations of extracellular material. Lower density than surrounding tissue c/c/w cyst, just? Larger than usual, ca ↓↓↓ likely. ...Read more

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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

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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?

Tarlov cysts: Are an overwhelmingly unimportant finding so don't worry about it. The thyroid nodule is also most likely insignificant but ultrasound may be useful to take a second look so ask your clinician. The great majority of thyroid nodules are not cancerous. ...Read more

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Rt thyroid lobe homogenous in echogenicity measures 5.6x1.7x1.8cm w/multiple nodules largest meas. 1.0x0.6x0.9 located in lower pole.?

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: Hi SFleming,
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

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What does right thyroid lobe enlarged with calcification mean?

If you mean: Calcifications in a thyroid nodule, you need routine lab, a serum thyroglobulin determination and probably a fine needle biopsy. Talk w/your doctor. ...Read more

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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.?

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.?

Thyroid nodule: Speak with your doctor. Depending on the specific ultrasound features of the nodule, the presence of other nodules, and within the context of your overall clinical picture, it may need a needle biopsy for a definitive diagnosis. ...Read more

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Sir I have an ultrasound findings saying I have A Diffuse Paranchymal Thyroid lobe disease, bilateral with subcentimeter cyst within the enlarged right?

Sir I have an ultrasound findings saying I have A Diffuse Paranchymal Thyroid lobe disease, bilateral with subcentimeter cyst within the enlarged right?

The next step: Is aspiration needle biopsy of the thyroid parenchyma and cyst. If you have high thyroid activity, then a nuclear medicine scan may be done before biopsy, to avoid further release of thyroid hormones into the blood stream. Thanks for trusting in HealthTap. ...Read more

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Just had my right thyroid lobe removed. How soon after surgery should I have my thyroid hormone levels checked?

Just had my right thyroid lobe removed. How soon after surgery should I have my thyroid hormone levels checked?

3-6 weeks: The half life of T4 (thyroid hormone) is 7 days. The general rule is that it takes 3 half-lives for something to be considered out of your system. After about 3 weeks you should be reaching your new steady state of thyroid hormone in your blood and should be able to tell if your remaining thyroid lobe will be able to compensate or if you will need supplemental thyroid hormone. ...Read more

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Mild enlargement of the right thyroid lobe without discrete nodules. There is a homogeneous appearance to the echotexture of the thyroid gland.????

Lobe enlarged: This should be of no significance if your thyroid hormone levels are all normal. There are no suspicious findings of benign or malignant growths. If you have further concerns a thyroidologist or endocrinologist would be best qualified to evaluate and advise you. ...Read more

Dr. Daniel Saurborn
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