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Doctor insights on: Hypoechoic Heterogeneous Lesion With Vascularity

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1.5x6x1.1 CM ill defined heterogeneous hypoechoic area internal vascularity no central calcifications on a diffusely heterogeneous lobe. Is this bad?

1.5x6x1.1 CM ill defined heterogeneous hypoechoic area internal vascularity no central calcifications on a diffusely heterogeneous lobe. Is this bad?

The ultrasound: Report should give recommendations on follow up or need for biopsy. Most thyroid findings are benign. When there is doubt, fine needle biopsy is often done as it is easy on the patient and often definitive. ...Read more

Dr. Scott Bolhack
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It was determined I have heterogeneously hypoechoic nodule 1.8 x 1.2 x 1.0 cm. There is internal vascularity, with no microcalcification. Concerned?

Depends: It depends where this nodule is (thyroid or breast, etc), other characteristics of the nodule (such as well or ill-defined margins) and whether this nodule has been seen before or not. ...Read more

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I have 3.2cm Heterogeneous hypoechoic predominantly solid nodule-cystic, calcification- midpole right lobe increase vascularity what does this mean?

Specify: You have to specify what organ. Is it thyroid, liver etc. Radiology reports tend to have interesting and unique adjectives? If it is a thyroid nodule it ought to be vigorously pursued with your doctors because thyroid nodules are in general not good things to have. ...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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I have a 2.4 heterogeneous hypoechoic solid nodule with cystic components and no increased vascularity or interna calcification. Shortness of breath?

I have a  2.4 heterogeneous hypoechoic solid nodule with cystic components and no increased vascularity or interna calcification. Shortness of breath?

Not sure: I'm not exactly sure what the question is but i don't like the sound of the mass you describe. It sounds as if this was a breat ultrasound finding. Is that true? If so, what was the physicians recommendation? If my assumptions are correct, there is no definite clear relationship to shortness of breath from a physiologic standpoint, but shortness of breath should to be evaluated. ...Read more

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Thyroid U/S showed L thyroid gland heterogeneous hypoechoic nodule w/ mind internal vascularity. what does all this mean? FNA recommended.

Thyroid U/S showed L thyroid gland heterogeneous hypoechoic nodule w/ mind internal vascularity. what does all this mean? FNA recommended.

Means abnormal test: Ultrasound is a commonly used test for detection of Throid nodules which are quite common. So when the ultrasound shows a Thyroid nodule, it needs to be monitored and often a Biopsy is required to find out if the nodule is benign or cancerous. FNA is one such technique for obtaining a biopsy for making a diagnosis. ...Read more

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What does all this mean..Heterogeneous glandular tissue w mild increased vascularity suggestive of thyroiditis/no focal lesion identified?

What does all this mean..Heterogeneous glandular tissue w mild increased vascularity suggestive of thyroiditis/no focal lesion identified?

Goiter/FNA: If this is your fna/fine needle aspirate result, then your doc will likely recommend medication and monitoring for your thyroid disease. ...Read more

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Does mild intrinsic vascularity mean anything on a solid micro follicular thyroid lesion which is circumscribed and heterogeneous?

Does mild intrinsic vascularity mean anything on a solid micro follicular thyroid lesion which is circumscribed and heterogeneous?

Possibly: I want to clarify your description. You wrote a micro follicular lesion.This is an older pathology dx. Was this biopsied or is this a micronodule (<1 cm). Well circumscribed is good.Heterogeneous nod need to know the character of the solid part.After the other info, increased blood flow is a risk factor cancer (but now considered a minor factor). Thyroid func is key here. W/more info FNA or not ...Read more

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Circular hypoechoic lesion (0.7 x 0.6 x 0.5 c) in midpole of right testicle. No internal vascular flow or calcification found. What is the diagnosis?

Circular hypoechoic  lesion (0.7 x 0.6 x 0.5 c) in midpole of right testicle. No internal vascular flow or calcification found. What is the diagnosis?

Cyst: Hypoechoic and avascular generally mean fluid filled. Although you definitely should be examined by a urologist, this most likely represents a testicular cyst. ...Read more

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I had a breast u/s performed. The report described it as a 12x5x9mm hypoechoic lesion with vascular flow present. Does this sound benign?

I had a breast u/s performed. The report described it as a 12x5x9mm hypoechoic lesion with vascular flow present. Does this sound benign?

Indeterminate Lesion: The findings cannot be characterized as probably benign based on the report. The nodule is in the indeterminate category which means further evaluation (like a biopsy) may well be required. Most such biopsies will turn out negative but it is important to identify the ones that aren't to catch things early. Good luck. ...Read more

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I have done USGthyroid.normal thyroid and isthumus show diffusely altered heterogeneous echotexture. Vascularity present.no lesion nor calcification.

I have done USGthyroid.normal thyroid and isthumus show diffusely altered heterogeneous echotexture. Vascularity present.no lesion nor calcification.

Thyroid function?: Hi. What prompted the thyroid ultrasound? Sounds like no nodule, so thyroid cancer is not the issue here. Heterogeneous echo texture is non-specific, but certainly can be seen in Hashimoto's. Do you have normal thyroid function? Even if so, you could check TPO & thyroglobulin antibodies to see if there's evidence of autoimmune thyroiditis. Good luck! ...Read more

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I was originally diagnosed with a fibroadenoma, now my annual scan shows it is a hypoechoic irregular heterogeneous lesion, getting biopsy is it cancer?

I was originally diagnosed with a fibroadenoma, now my annual scan shows it is a hypoechoic irregular heterogeneous lesion, getting biopsy is it cancer?

NO ,: But wan to make sure is not a cancer need biopsy if you do not want it removed ( surgery ) , fibroadenoma of breast is a benign tumor , common at your age , and rarely transforms to malignancy , don't worry ...Read more

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2.4cm breast lump irregular, hypoechoic heterogeneous lesion. Getting biopsy. Is there anything other than cancer with that description it could be?

2.4cm breast lump irregular, hypoechoic heterogeneous lesion. Getting biopsy. Is there anything other than cancer with that description it could be?

Yes,: there are a number of benign entities that can cause a lesion with this appearance. In the absence of other descriptors, this sounds like a BIRADS category 4C lesion, which implies a 50-95% chance of malignancy. ...Read more

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Is subcentimeter heterogeneous hypoechoic lesions of the thyroid likely to be cancerous ?

Is subcentimeter heterogeneous hypoechoic lesions of the thyroid likely to be cancerous ?

No: A large study found that nodules less than 2.5 cm are usually harmless. It is also reassuring that there are multiple nodules. Thyroid nodules very common and frequently harmless. ...Read more

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Liver segment V shows an ISO/hypoechoic focal lesion mesring 28x18 mm with slitly irregulr margins.No incrsd vasularity on colr doplr? Is it considered small or not so small?

Liver segment V shows an ISO/hypoechoic focal lesion mesring 28x18 mm with slitly irregulr margins.No incrsd vasularity on colr doplr? Is it considered  small or not so small?

Primary or met: angiomas or fibromas may present as such. Hepatic angiogram showing specific arterial blood supply more common with malignancies since hepatic cells derive major blood supply from portal system. If Hep C present think of hepatoma. Microwave ablation frequently can eliminate such lesions but bx should be obtained first. ...Read more

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What does bilateral hypoechoic nodules without vascular flow mean? Thank you.

Not enough info: Too little information was provided to answer. Please reform you question, or you can consult with me. The consult should not take to long. ...Read more

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A right level IIA node is 1.5 x 0.8 x 1.3 cm and is diffusely hypoechoic lacking an echogenic hilus or central vascularity. is this concerning?

A right level IIA node is 1.5 x 0.8 x 1.3 cm and is diffusely hypoechoic lacking an echogenic hilus or central vascularity. is this concerning?

Perhaps: Loss of the normal lymph node anatomy (echogenic hilus, central vascularity, longer than wide) can indicate a lymph node that needs more evaluation. Sometimes needle biopsy of a suspicious node is performed under ultrasound guidance as a part of the evaluation process. ...Read more

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I have two slightly enlarged level 2 (one on each side) lymph nodes - rounded in morphology, hypoechoic and no internal vascularity. Thoughts of cause?

I have two slightly enlarged level 2 (one on each side) lymph nodes - rounded in morphology, hypoechoic and no internal vascularity. Thoughts of cause?

Located? Use HTPrime: Lymph nodes without symptoms are hard to figure out. Causes for lymph nodes include old infection, lymphoma, other cancers / malignancy, inflammation, or congenital (you're "born that way"). The only way to know with certainty is by biopsy, but weigh risk of surgery w/ symptoms before going that route. Use HealthTap Prime to discuss your symptoms & get better guidance. Thanks for asking. Good luck ...Read more

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What is a complex hypoechoic vascular nodule in the ovary? Cancerous?

More age dependent: The types of ovarian cancers one can get depends very much, nearly exclusively, on the age of the patient. Thus a nodule in a 21 year old means a very different thing from one in a 65 year old. Average age for diagnosis is 63. If you're asking the question for yourself, most common ovarian cancer at your age is a germ cell or stromal tumor. Most important is to get the advice of your doctor. ...Read more

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Should i be worried... hypoechoic solid thyriod nodule with mild vascularity 1.1 x 0.9 x0.9 cm?

Should be biopsied: thyroid nodules are extremely common, and 80% of nodules like yours are not cancer. However, once a nodule is over 1 cm, the typical recommendation is to biopsy the nodule using a fine needle. This is done in the office. You can have it done by an ear nose and throat doctor or a surgeon. Some surgeons specialize in thyroids too. ...Read more

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1 CM solid hypoechoic nodule no associated calcifications or increased vascularity have been seen?

Not enough info: I'm not sure of the question. Is this from a breast ultrasound? Specific ultrasound features of the nodule, combined with mammographic and physical exam findings, will help determine whether this nodule should be biopsied, or followed up at 6 month intervals. ...Read more

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If you have a heterogeneous complex increasing vascular nodule 3.0cm should I worry about it being cancer?

If you have a heterogeneous complex increasing vascular nodule 3.0cm should I worry about it being cancer?

Biopsy: You should show the lesion to your doctor or dermatologist. Nodule might be benign, or malignant. Usually, biopsy of the lesion and microscopic evaluation is helpful in right diagnoses. Do it on time, do not postpone.
Thanks for your question. Stay well. ...Read more

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A right level IIA node is 1.5 x 0.8 x 1.3 cm and is diffusely hypoechoic lacking an echogenic hilus or central vascularity. does this need a biopsy?

A right level IIA node is 1.5 x 0.8 x 1.3 cm and is diffusely hypoechoic lacking an echogenic hilus or central vascularity. does this need a biopsy?

Possibly.: By the description, it sounds like an abnormal lymph node. There are many causes, most are benign and related to inflammatory/infectious processes. Clinical evaluation will determine the need for biopsy or follow-up, so talk to your doctor about it. ...Read more

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What does "very hypoechoic nodules with increased vascularity" mean? Is that indicative of cancer? Nodules are not 1cm.The larger one is 0.40cm x 19cm

Nodule: Hypoechoic generally means that the lesion is more likely to be cystic (contains fluid), however, increased vascularity is concerning. depending on the history, location and presence of other symptoms fine needle aspiration for cytological analysis or a biopsy should be considered. Watch for alternative points of view from other physicians ...Read more

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Are heterogeneous complex thyroid nodules degenerating adenomas and have to be removed if peripherally vascular?

Depends : Increased vasularuzation of thyroid nodule rises suspension fior malignanccy . In this case fine needle aspiration of thyroid nodule is needed to rule malignantncy. Otherwise nodules with this appearance on thyroid ultrasound are generally benign . ...Read more