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Doctor insights on: Hypoechoic Nodule Thyroid Lower Inner Pole

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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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Heterogeneous hypoechoic nodules in bilateral thyroid lower pole, measuring 1.7 CM on the right and 0.5 CM on the left. Is it can be cancerous?

Heterogeneous hypoechoic nodules in bilateral thyroid lower pole, measuring 1.7 CM on the right and 0.5 CM on the left. Is it can be cancerous?

Not likely: Cancer is not likely but you should follow your doctor's advice for further evaluation, be that a thyroid scan or fine needle aspiration of the lesions. ...Read more

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Please explain "left lobe of thyroid is 4.6x1.9x1.5cm & contains 9mm hypoechoic nodule at lower pole w/ small cystic component" mildly complicated. TY?

Please explain "left lobe of thyroid is 4.6x1.9x1.5cm & contains 9mm hypoechoic nodule at lower pole w/ small cystic component" mildly complicated. TY?

FNA not essential: As the nodule is less than 1 cm. FNA biopsy is not essential in most cases. But if any risk factors like history of radiation to head or neck or family history of thyroid cancer then need to follow up more closely by ultrasound and may also consider FNA biopsy ...Read more

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Recent US shows right side of thyroid a large nodule 3.9 x 2.1 x 2.3 cm. L Mid to lower left lobe shows a discrete hypoechoic heterogeneous nodule 2.

Thyroid nodule: If you were not seen by an endocrinologist, you should be referred to one for possible biopsy. You should also have a thyroid panel done. ...Read more

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If I had a thyroid scan that read: left lobe of gland is mildly enlarged at 5.8cm x 1.7 x 2.2. There is a avascular 3 mm hypoechoic nodule in the lower pole of the left lobe. How would I know if it was " hot or cold"?

If I had a thyroid scan that read: left lobe of gland is mildly enlarged at 5.8cm x 1.7 x 2.2. There is a avascular 3 mm hypoechoic nodule in the lower pole of the left lobe. How would I know if it was " hot or cold"?

Ultrasound results: What you are describing are ultrasound results. A hypoechoic nodule of 3 mm of size is nearly 100% benign.

The only reason to assess if a nodule is overactive (hot) or underactive (cold) is in general hyperthyroidism. If the nodule is hot, then it can be the target of therapy. This is done through a i-131 uptake and scan. ...Read more

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A 0.3 x 0.5 x 0.3 CM hypoechoic cystic nodule with punctate internal echo is noted in the lower pole of the right lobe of the thyroid gland.?

Small nodule: Often cystic thyroid nodules can have denser regions called "punctate foci". If the nodule is not cystic those can also be microcalcifications, a finding that increases the risk of thyroid cancer. The key though is that the nodule is very small and therefore requires monitoring only, no matter what its nature may be. ...Read more

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What does it mean when hypoechoic nodules keep forming on thyroid?

Multinodular Thyroid: Usually this is seen in patients with multinodular glands. If the thyroid is enlarged we say multinodular goiter. Most of the time, the nodules are benign but enlargement, calcifications, irregular margins and other findings may suggest the need for biopsy. ...Read more

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Thyroid Tissue is diffusely inhomogeneous. No Discrete nodules or cysts although there are innumerable vague hypoechoic areas throughout the tissue??

Thyroid Tissue is diffusely inhomogeneous. No Discrete nodules or cysts although there are innumerable vague hypoechoic areas throughout the tissue??

Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, Why was the imagining study done? Do you have any symptoms? What were the results of the thyroid function tests. It is not feasible to provide a meaningful opinion without examining you. ...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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Can hypoechoic nodules in thyroid cause you to feel sick?

Can hypoechoic nodules in thyroid cause you to feel sick?

Unlikely: They typically do not affect the function of the thyroid so you shouldn't "feel sick" with the presence of nodules. Unless they are very large and cause compressive symptoms. In that case, it is obvious and you would know why you feel sick. ...Read more

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3mm solid hypoechoic nodule, and mildly enlarge thyroid, what next step?

3mm solid hypoechoic nodule, and mildly enlarge thyroid, what next step?

Observe: As I mentioned you should see a thyroidologist to determine if the nodule appears benign. If so perhaps a repeat ultrasound as well as thyroid blood tests to determine why the gland is enlarged. ...Read more

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I have a 3mm hypoechoic solid nodule, with an midly enlarge thyroid, should I worried about that?

I have a 3mm hypoechoic solid nodule, with an midly enlarge thyroid, should I worried about that?

Probably not.: See a thyroidologist. Nodules less than 10mm without worrisome features are very common in 44 Y.O. Women. ...Read more

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Thyroid US shows 1cm nodule, heterogeeous, hypoechoic, irregular borders. Could this be malignant?

Thyroid US shows 1cm nodule, heterogeeous, hypoechoic, irregular borders. Could this be malignant?

Could be, but. ..: Usually the bad ones are larger and solid. The definitive test is always a biopsy. An U/S finding is just suggestive or not. Discuss the results with your doc and the ultrasonographer. Good luck and best wishes! ...Read more

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Are thyroid cysts hyper or hypoechoic. Report said 2mm hypoechoic nodule mostly likely complex cyst. Yes?

Are thyroid cysts hyper or hypoechoic. Report said 2mm hypoechoic nodule mostly likely complex cyst. Yes?

Hypo: Cysts are hypoechoic. Monitor with another ultrasound in 3-6 months and have a complete thyroi panel: TSH, free T3, free T4, TPO and anti-thyroglobulin. Also get a vitamin d and iodine levels. ...Read more

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3x1x2mm hypoechoic nodule on thyroid u/s. Report said most likely a complex cyst. Dr said I don't need a f/u u/s unless he feels something. True?

Thyroid ultrasound: The hypoechic nodule is quite small and it is no surprise that he felt nothing. The surprise is "Why did you have the test? "
If you can, please let me know what led up to this testing. ...Read more

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I had an thyroid us, a 3mm hypoechoic solid nodule, but when I see the images other similars areas are shown, should I ask for a review of the us?

I had an thyroid us, a 3mm hypoechoic solid nodule, but when I see the images other similars areas are shown, should I ask for a review of the us?

No: 3 mm is very small. Even if you have more it would not change anything. The only thing you need is to have another ultrasound in the future (1yr) and see if anything changes. ...Read more

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Thyroid us after 3 mos: "previously noted ill-defined hypoechoic nodule now felt to represent an area of more focal heterogeneous thyroid tissue...?

Common: They couldn't really know for sure if there was a nodule the first time, that's why they said "ill-defined". Now they think it's just tissues and not a nodule. This happens all the time. That's the nature of ultrasound and the thyroid. ...Read more

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I had a 6m repeat thyroid u/s due to a nodule. First was 5.3mmx4.9x3.3 now it's 6.5mm x5.5x3.3. hypoechoic in ll pole. Worrisome? Can it be biopsied?

I had a 6m repeat thyroid u/s due to a nodule. First was 5.3mmx4.9x3.3 now it's 6.5mm x5.5x3.3. hypoechoic in ll pole. Worrisome? Can it be biopsied?

Maybe: Your Doctor has to decide if "hypoechoic" means a cyst or something else. A cyst is not worrisome. If your Doctor decides on a biopsy, that can be done with a nodule of this size. ...Read more

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What does multiple hypoechoic focus nodules mean on my thyroid? What is parenchymal inhomogeneity?

What does multiple hypoechoic focus nodules mean on my thyroid? What is parenchymal inhomogeneity?

Varying appearance: Inhomogeneous means areas of different echogenicity or density rather than homogeneous where entire gland has same density. Hypoechoic means areas with decreased density or less echoes which often are cystic. As long as any nodular areas are not larger than 1 cm in diameter they usually do not require biopsy. ...Read more

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I have two 3x4x3mm and one 2x4x2mm complicated hypoechoic nodules in my thyroid. Should I get them checked by an endocrinologist?

I have two 3x4x3mm and one 2x4x2mm complicated hypoechoic nodules in my thyroid. Should I get them checked by an endocrinologist?

Probably not: You are talking about mm, not cm right? If mm, they are still very small. I would get another ultrasound in 1 year and see a specialist if they are changing or growing. In the meantime ask your pcp to make sure the thyroid is functioning normally. ...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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Can the hypoechoic&isochoic nodules&cysts in my thyroid be cancerous?

Can the hypoechoic&isochoic nodules&cysts in my thyroid be cancerous?

Not possible to say: It is not possible to say without seeing what they look like. Sometimes it is necessary to undergo additional tests to determine whether or not they are cancerous. Best talk to your doctor for guidance ...Read more

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I just got my results from my thyroid scan. What does bilateral hypoechoic nodules&cysts mean?

It means: You have multiple fluid-filled of minimally cellular nodules and cysts, which are present in approx 50% of healthy normal individuals. Discuss the full findings with your doctor. ...Read more

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What does a hypoechoic non vascular round shaped nodule 7mm on thyroid bed. Post thyroidectomy. Meaning?

Not entirely clear: This means there is a "nodule" or lymph node in the area where your surgery was. If the surgeon performed a partial lobectomy, then there could be some thyroid left there and also a nodule. It could be a lymph node that was outside of where the thyroid was. Also, in reality if the surgeon did remove the entire lobe, it could be remnant scar that is being interpreted as such. Speak with surgeon. ...Read more

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A 5x5x5mm nodule right upper thyroid no internal flow. Well circumscribed hypoechoic /heterogeneous 1.4x1.4x1.6cm nodule post right. Is the cancerous?

A 5x5x5mm nodule right upper thyroid no internal flow. Well circumscribed hypoechoic /heterogeneous 1.4x1.4x1.6cm nodule post right. Is the cancerous?

Depends: We recommend biopsying any thyroid nodule over 1cm to make sure not cancerous. So I would not worry about your 5mm nodule but just have an ultrasound guided fna (fine needle aspiration) of your 1.4mm nodule. ...Read more

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My thyroid us report. Right thyroidectomy. Hypoechoic nodule in isthmus.. 8 x. 8 x 1.8 hypoechoic focus in right thyroid bed. No normal tissue in r?

My thyroid us report. Right thyroidectomy. Hypoechoic nodule in isthmus.. 8 x. 8 x 1.8 hypoechoic focus in right thyroid bed. No normal tissue in r?

Thyroid ultrasound: By reporting "Right thyroidectomy" it is generally understood that the right thyroid lobe is surgically absent or has been removed. The. 8x.8x1.8 hypoechoic focus in the right thyroid bed would suggest that there is something in the soft tissues behind where the thyroid was removed that is showing up. This could be a parathyroid gland, lymph node or something else. Get back with your doctor. ...Read more

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Us results show 2 "hypoechoic solid nodules" on in each lobe of the thyroid. Should these be biopsied? Who decides that?

Us results show 2 "hypoechoic solid nodules" on in each lobe of the thyroid. Should these be biopsied? Who decides that?

Depends...: Depends upon the size and other factors. In general, it is better to be safe and proceed with the biopsy plus appropriate blood tests. Discuss w/your doctor and see an endocrinologist if appropriate or want a second opinion. ...Read more

Dr. Louis Gallia
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