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Doctor insights on: Hypodense Nodule In Left Thyroid Lobe

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Dr. Alan Feldman
Board Certified, Endocrinology
36 years in practice
2M people helped
1

1
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.

Dr. Alan Feldman
Board Certified, Endocrinology
36 years in practice
2M people helped
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

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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. Mark Pack
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26 years in practice
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Dr. William Culviner
Board Certified, ENT and Head and Neck Surgery
25 years in practice
1M people helped
2

2
Subcentimeter hypodense nodule on left thyroid lobe with coarse focus of calcification---subcentimeter left thyroid nodule.Non-specific in nature.

Dr. William Culviner
Board Certified, ENT and Head and Neck Surgery
25 years in practice
1M people helped
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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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. Mark Pack
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26 years in practice
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Dr. Stanley Schwartz
Board Certified, Endocrinology
47 years in practice
3M people helped
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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?

Dr. Stanley Schwartz
Board Certified, Endocrinology
47 years in practice
3M people helped
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?

Depending on size: and ultrasound characteristics (calcium in it, vascular, may need biopsy ...Read more

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Dr. Alan Feldman
Board Certified, Endocrinology
36 years in practice
2M people helped
4

4
My friend has a nodule on the right upper lobe & a hypodense lesion on her right thyroid lobe, so does that mean if she has cancer it is spreading?

Dr. Alan Feldman
Board Certified, Endocrinology
36 years in practice
2M people helped
My friend has a nodule on the right upper lobe & a hypodense lesion on her right thyroid lobe, so does that mean if she has cancer it is spreading?

No: Hypodense lesion is an ultrasound term that describes the appearance of a thyroid nodule. Most thyroid nodules are hypodense, and most of these nodules are benign. If it is over 1 cm in size, fine needle biopsy of the nodule should be considered to determine if it is benign or not. ...Read more

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Dr. Mark Pack
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26 years in practice
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Dr. David Sneid
Board Certified, Endocrinology
36 years in practice
38M people helped
5

5
Solitary subcentimeter nodule in the left thyroid lobe?

Dr. David Sneid
Board Certified, Endocrinology
36 years in practice
38M people helped
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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Dr. Weiguo Li
Board Certified, Family Medicine
21 years in practice
117K people helped
6

6
Mytest result s show: left thyroid lobe lower pole ovoid hypoechoic noncalcified nonvascular nodule 1.2x0.9x0.6cm What does all that mean??

Dr. Weiguo Li
Board Certified, Family Medicine
21 years in practice
117K people helped
Mytest result s show:
left thyroid lobe lower pole ovoid hypoechoic noncalcified nonvascular nodule
1.2x0.9x0.6cm
What does all that mean??

Watch now: This is a nodule in the thyroid, it is small and noncalcified. You may observe it now. If you feel uncomfortable, you can ask for a needle biopsy. ...Read more

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Dr. Paul Velt
Board Certified, Diagnostic Radiology
37 years in practice
776K people helped
7

7
My left thyroid lobe is slightly enlarged and I have a vascular hypoechoic nodule measuring 5x4x3mm ?

Dr. Paul Velt
Board Certified, Diagnostic Radiology
37 years in practice
776K people helped
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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Dr. Melissa Young
Board Certified, Endocrinology
4 years in practice
2M people helped
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8
Left thyroid lobe is 3x1.1x0.9cm. The nodule is 5x7x7mm with hypervascularity, microcalcifications and posterior capsule. What is the chance of cancer?

Dr. Melissa Young
Board Certified, Endocrinology
4 years in practice
2M people helped

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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Dr. David Sneid
Board Certified, Endocrinology
36 years in practice
38M people helped
9

9
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?

Dr. David Sneid
Board Certified, Endocrinology
36 years in practice
38M people helped
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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Dr. Quang Nguyen
Board Certified, Endocrinology
27M people helped
10

10
What is diffusely heterogeneous thyroid gland mean? Also have a 5x5 mm calcified nodule in upper left thyroid lobe. Help me understand this? Thx.

Dr. Quang Nguyen
Board Certified, Endocrinology
27M people helped
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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Dr. Mark Pack
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