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Doctor insights on: Hypoechoic Heterogeneous Thyroid Nodule

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I have a 5mm hypoechoic heterogeneous thyroid nodule, but it's causing me pain. Should I have another ultrasound sooner than 3 months?

I have a 5mm hypoechoic heterogeneous thyroid nodule, but it's causing me pain. Should I have another ultrasound sooner than 3 months?

No: It is unlikely that a 5 mm module is causing pain. Currently recommended practice is to follow up annually for less than 1 cm (or 1.5 cm) nodules. More than that size biopsy. ...Read more

Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more


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Nodule on thyroid . Then did a FNA . The result was 1.7cm "Left thyroid nodule is heterogeneous & mildly hypoechoic. Any reason to worry?

Nodule on thyroid . Then did a FNA . The result was 1.7cm "Left thyroid nodule is heterogeneous & mildly hypoechoic. Any reason to worry?

What did FNA show?: The description you give is of the ultrasound, not the fine-needle aspiration. Yes, I'm worried. But you do need to find out what the FNA showed. If there's any reason to think this is cancer, address it without delay. Best wishes. ...Read more

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Thyroid nodule at 3.4 x 4.7 x 2.3cm. Blood tests confirm all is normal. Ultrasound shows heterogeneous iso/small area hypechoic. Chances of cancer?

Thyroid nodule at 3.4 x 4.7 x 2.3cm.  Blood tests confirm all is normal.  Ultrasound shows heterogeneous iso/small area hypechoic.  Chances of cancer?

Yes, some: You need to see an endocrinologist.. Who would likely do a fine needle aspiration(fna) biopsy. Thyroid cancer needs to be ruled out by further testing. It has to be a consideration in your case. But thyroid cancer is easily treatable and highly curable(>95%). ...Read more

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What is a hypoechoic thyroid nodule exactly?

What is a hypoechoic thyroid nodule exactly?

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

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Is a heterogeneous thyroid nodule cancerous?

Is a heterogeneous thyroid nodule cancerous?

Possibly: Each thyroid nodule has an approx. 5% chance of malignancy, thus a heterogenous could be cancerous. Looking at it the other way, a heterogenous nodule has a 95% chance of not being cancerous. ...Read more

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What are ill-defined thyroid nodules with diffuse heterogeneous echotexture?

Usually description: of possible nodules in a gland with inflammation=thyroiditis needs follow up ultrasound 1 year and check and follow-up of thyroid function tests 1-2 x /year ...Read more

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Right side upper pole solid hypoechoic single thyroid nodule mean? worried..

Depends : It all depends on the size and if it is new. There is a need to do needle aspiration if not sure ...Read more

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Dr said follow up u/s in one year for 7 mm hypoechoic thyroid nodule. Is this too long to wait? Or normal?

It should be Ok: Most thyroid nodules are either benign or very slow growing. So a recheck in 6 months to 12 months later is quite reasonable. ...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

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I have 2 thyroid nodules and 1 is hypoechoic and the other complex should I worry?

I have 2 thyroid nodules and 1 is hypoechoic and the other complex should I worry?

Depends: Hypoechoic, hypervascular, or calcifications on ultrasound need to be addressed particularly if the nodule is > 10mm. The solid component of a complex nodule can be benign or cancer. Typically a nodule greater than 10mm should be biopsied by ultrasound or smaller if there are calcifications or prior history of radiation or family hist. There is no ultrasound pattern that is diagnostic for cancer. ...Read more

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What does heterogeneous mean when it comes to a thyroid nodule?

What does heterogeneous mean when it comes to a thyroid nodule?

It means irregular: Heterogeneous is the opposite of homogenous. Any thyroid nodule which is irregular and over 1cm in size needs to be investigated further. This may need a biopsy especially if it is growing or has increased in size over a period of 3 months. You should have your doctor guide you or send you to an endocrinologist. For a second opinion and further advice. ...Read more

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I have several heterogeneous thyroid nodules and cysts with 7mm biggest in size. what does this indicate?

I have several heterogeneous thyroid nodules and cysts with 7mm biggest in size. what does this indicate?

Common. Don't worry: Many people have nodules as they get older. Don't worry about them if they are less than 1cm in size. When and if they get bigger, then we biopsy the solid ones and aspirate the fluid with a needle. ...Read more

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Single hypoechoic solid thyroid nodule over 1cm with mild vascularity?

Hyperplastic nodule: This sounds like a hyper plastic nodule. These are usually benign. In the absence of prior studies, this usually is followed up to show it's stable nature. If it changes or grows it would need a biopsy. Nonetheless would suggest an in depth discussion with your doctor ...Read more

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What percentage of heterogeneous, complex peripherally vascular thyroid nodules are cancer?

It depends: Thyroid nodules are mostly ( 80-90%) benign . But it depends on their size and rate of change(growth in their size). A repeat Ultrasound study of your Thyroid should be done(I am sure your doctor must have advised you to do so)) in 6 to 12 months time to reassess for any growth in the nodules in your Thyroid. ...Read more

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Presence of hypoechoic area in hyperechoic thyroid nodule.. What it indicates? Nodule has increased vascularity

Uncertain: There are various characteristics of thyroid nodules on ultrasound, including hyperechoic, hypoechoic, isoechoic, cystic, complex, vascular, calcified, microcalcifications. Unfortunately, none of them can tell you for sure whether the nodule is benign or malignant. In your age group, we would be recommending biopsy of the nodule if it is 1 cm in size or larger. ...Read more

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What may be a possible cause of increased peripheral vascularity around a 1cm slightly hypoechoic thyroid nodule?

Inflammation : A hypoechoic nodule could compress normal tissue and vessels . Inflammation around nodule might also increase flow. ...Read more

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Is a heterogeneously hypoechonic nodule 1.4x1.1x1.1cm thyroid nodule with microlobulated margins with no calcifications is a possible malignant one?

Is a heterogeneously hypoechonic nodule 1.4x1.1x1.1cm thyroid nodule with microlobulated margins with no calcifications is a possible malignant one?

No definite answer.: There's no way to know from an ultrasound whether a thyroid nodule is malignant or benign. Don't be fooled by Radiologist - all imaging is limited in its ability to diagnose these conditions. The only way to tell for certain about malignancy is to undergo a biopsy. In the mean time, an iodine uptake-and-scan could help. You'll need blood tests & the help of an endocrinologist as well. Use HT Prime ...Read more

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Is it true that the majority of thyroid nodules are hypoechoic and although thyroid cancer is usually hypoechoic, most hypoechoic nodules are benign?

Is it true that the majority of thyroid nodules are hypoechoic and although thyroid cancer is usually hypoechoic, most hypoechoic nodules are benign?

Size?: It is correct that in younger people thyroid nodules are benign, however, us is not very good at ruling out malignancy. Close follow up of the nodule is needed with us every 6 months. If the nodule is larger than 1 cm, fine needle aspiration biopsy needs to be considered. ...Read more

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Hi, I recently found out I have 'multiple' thyroid nodules, it reads very heterogeneous w/prominent internal flow two of them measuring 1cm.

Multinodular goiter: This is fairly common and usually is quite benign. The imaging specialist can advise as to whether and need to be needled fr duagnosis. ...Read more

Dr. Sanjiv Kaul
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


Dr. Eric Whitman
338 doctors shared insights

Thyroid Nodules (Definition)

Masses in the thyroid that vary in size and should be ...Read more