Doctor insights on:
Hypodense Thyroid Nodule
Decreased echoes: Ultrasound exam of thyroid gland can show nodules of decreased echogenicity (hypo dense or hypo echoic)), increased echogenicity (hyper dense or hyper echoic) or mixed with areas of both imaging qualities. Hypodense has usually more consistency of fluid like cyst and hyper dense more like solid tumor. ...Read more
I had total thyroidectomy. Hypodense nodule right thyroid bed 11mm by 9mm. Significance uncertain. Nonspecific lymph nodes. Could this be cancerous?
Possibly: The total thyroidectomy was performed for a lesion in the thyroid that was not a goiter. That signifies that the lesion removed by the procedure had a potential for malignancy. Frozen section usually performed would inform surgeon of pathology and as such if Ca, a lymph node dissection would have been performed. If no Ca then any lesion in the bed is benign but should be followed. ...Read more
My cta listed subcentimeter hypodense thyroid lesions and pulmonary nodules in upper right lobe with largest 8mm. Noncalcified. Should I be worried?
Who knows?: Whoever ordered the ct needs to follow up. ...Read more
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
A recent CT scan after a snowboarding accident mentions that I have "13mm left inferior thyroid nodule is hypodense". What does this mean?
Needs ultrasound: Likley nothing to worry (lot of people have nodules); need ultrasound thyroid to confirm. ...Read more
In certain cases: Many thyroid nodules need to be surgically removed, while others will never require surgery. Each case is individualized and there are many gray areas. It is really difficult to give a meaningful response to that question in the absence of a history and physical examination. ...Read more
Depends on problem: 3 major categories of potential health issues caused by thyroid nodules: a) large size affecting swallowing, breathing, voice ; b) over active production of thyroid hormone (hyperthyroid) ; and c) ~5% of nodules are cancer. Methimazole and ptu (propylthiouracil) are pills that block thyroid hormone production, treating b) above. Radioactive i-131 can shrink/destroy nodule, treating a) and b). Need surgery for c). ...Read more
Complicated question: Most nodules are initially treated with a biopsy. Additional therapy, if any, will depend on the results of that biopsy and any other symptoms or signs associated with that nodule. In truth, the treatment for any thyroid nodule is very individualized and impossible to generalize further. ...Read more
Yes if ignore it: See your doctor, after evaluation, possible FNA biopsy then you don't you don't have to be concerned. ...Read more
Fewer echoes on US: Hypoechoic describes the appearance of a nodule on ultrasound (us). It refers to a nodule that reflects back fewer sound waves compared to the normal thyroid tissue around it. While most thyroid cancers are hypoechoic, most hypoechoic nodules are not cancers. But a hypoechoic nodule may have a slightly higher risk of being a cancer than other nodules. ...Read more
Not the best questn: Your better question is what steps to you need to take to increase you chance of survival with this process. Close and honest discussions with your treatment team can provide you the best answers. ...Read more
Not common: Teens can have all the thyroid conditions that older people have, but these conditions are much more rare among teens. Isolated benign nodules, multinodular goiters and thyroid cancer can all occur in this age group and need to be appropriately evaluated and treated...Just like an adult. ...Read more
Thyroid nodules: No, most thyroid nodules are not cancerous. A thyroid ultrasound is very sensitive at picking up tiny and often insignificant nodules. There are some features of thyroid nodules that make them more suspicious, such as large solitary "cold" ones, and other features. The best person to evaluate is an Endocrinologist who does his/her own U/S guided biopsies. ...Read more