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Doctor insights on: Hypothyroidism On Ultrasound

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I have all symptoms of hypothyroidism, but blood tests are normal. Plus a swollen thyroid left side. What can cause this? Hair is really falling out.

I have all symptoms of hypothyroidism, but blood tests are normal. Plus a swollen thyroid left side. What can cause this? Hair is really falling out.

Other possibilities.: The Thyroid is not the only endocrine gland that affects metabolism, mood, menstrual cycles and hair follicle activity in women your age. It's quite possible that you are experiencing peri-menopause, or that you have Vitamin D deficiency. Has the enlargement of the thyroid gland been confirmed/examined with ultrasound? If not it should be. Your other hormones and a D level should be checked also. ...Read more

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Dr. Michael Gabor
2,244 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Tpo >380 normal tsh t3 (liothyronine) t4 swollen thyroid for weeks and all symptoms of hypothyroidism, abnormal ultrasound. Does it mean I might become hypo soon?

Tpo >380 normal tsh t3 (liothyronine) t4 swollen thyroid for weeks and all symptoms of hypothyroidism, abnormal ultrasound. Does it mean I might become hypo soon?

Yes: The way we monitor the functioning of your thyroid gland is by measuring TSH (Thyroid Stimulating Hormone). As your thyroid gland in your neck produces less thyroid hormone (T3 (liothyronine) and T4) your pituitary gland at the base of yr brain signals it to make more by sending out more TSH. If you take thyroid hormone by mouth then the TSH goes down, like a seesaw. ...Read more

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Hypothyroidism ultrasound shows hypervascular solid nodule inferior left lobe. 13x9x10mm. What is the next step? Odds of being malignant?

FNA biopsy: Hi. The nodule could be cancer (although considering all nodules, odds are in your favor it's not). Make sure TSH is not suppressed (if it is, you need a thyroid scan...hyperfunctioning nodules are never cancer). If TSH isn't suppressed, you need a fine needle aspiration biopsy for cytology (and hopefully gene testing). Good luck! ...Read more

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I have hypothyroid & anxiety. My neck often feels tight, like I need to stretch it out or cough. Ultrasound 2x and no nodules. Could be stress?

I have hypothyroid & anxiety. My neck often feels tight, like I need to stretch it out or cough. Ultrasound 2x and no nodules. Could be stress?

Different people: Take out their anxiety on different parts of the body. Common figures of speech reflect this tendency, i.e., "it's a pains in the neck, " "i need this like a hole in the head." you may take things out on your neck. In therapy it is a good idea to learn to relax and pay special attention to the part of the body that you tend to focus anxiety on. ...Read more

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An ultrasound of my thyroid showed enlargement and cysts on both sides, I have all the symptoms of hypothyroidism but my blood tests were normal?

An ultrasound of my thyroid showed enlargement and cysts on both sides, I have all the symptoms of hypothyroidism but my blood tests were normal?

No surprise: Symtoms of hypothyroidism are nonspecific, with normal T4 T3 (liothyronine) TSH ruling out thyroid as cause. Look for another cause for your symptoms. Nodules are extremely common and if the imaging is not concerning for cancer, you should relax. Nodules do not cause hypothyroidism. Stay proactive and good luck ...Read more

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I had an ultrasound done 1x when diagnosis w/ hashimoto's hypothyroidism, sub clinical type. Should I ask the doc for another ultrasound? It's been a yr.

I had an ultrasound done 1x when diagnosis w/ hashimoto's hypothyroidism, sub clinical type. Should I ask the doc for another ultrasound? It's been a yr.

Depends: Did the original ultrasound showed anything suspicious: a nodule, a cyst, a mass? If everything was ok on the first ultrasound, you don't need another one this soon. ...Read more

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Hypothyroidism with goiter and hear gurgling noise from my thyroid. Should I be concerned. Last ultrasound show slow nodule growth?

Hypothyroidism with goiter and hear gurgling noise from my thyroid. Should I be concerned. Last ultrasound show slow nodule growth?

Yes if enlarging: If goitor gets bigger and this does not resolve within 2 weeks get another u/s and see endocrinologist for labs and possible fine needle aspiration biopsy, if it is cancer, if caught early it is bets chance, could be pressing on blood vessel causing the sounds, but very unusual this sound so get tested ...Read more

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I've been hypothyroid for several years, currently on 240mcg armour. Ultrasound revealed an "enlarged & lumpy" thyroid gland. What can this?

I've been hypothyroid for several years, currently on 240mcg armour. Ultrasound revealed an "enlarged & lumpy" thyroid gland. What can this?

? goiter: Not really sure what this non-descriptive ultrasound is revealing, but it may be cysts, or nodules, or a "generic goiter" causing your enlargement. Have a thyroid specialist (endocrine dr.) evaluate you to be safe. Sometimes a fine needle aspiration (fna) with biopsy may be needed to definitively diagnose it. Best wishes. ...Read more

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I am 37...Have had hypothyroidism since 2001...I was diagnosed with diabetics last week not sure how bad...I have had every ultrasound they can think of my lyphm nodes are swollen in my arm point...I am always tired...I am not sure what they r looking for

I am 37...Have had hypothyroidism since 2001...I was diagnosed with diabetics last week not sure how bad...I have had every ultrasound they can think of my lyphm nodes are swollen in my arm point...I am always tired...I am not sure what they r looking for

Not sure related: The swollen lymph nodes and fatigue can be related to many different conditions- including but not limited to infections, autoimmune disease or cancer. The DX of diabetes may be an incidental finding- unless it is very poorly controlled or related to a abnormalityin your pancreas- o/w it doesn't usually cause swollen nodes- it would be very important to cmplete your work up. Good luck. ...Read more

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Does a thyroid ultrasound test for hyper or hypothyroidism?

Does a thyroid ultrasound test for hyper or hypothyroidism?

Neither: A thyroid u/s tests for the texture and appearance of the gland. It can tell you if you have a growth on it or not. Sometimes an u/s can suggest hyper by the amount of blood flow going though it but it's not always accurate/reliable. I wouldn't use a thyroid u/s to test for hyper or hypo function. You need a blood test for that. ...Read more

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Daughter is 16-has had large thyroid for at least 5 years. Tsh normal and ultrasound okay. Why would she have it? Lots of hypothyroid in family

Daughter is 16-has had large thyroid for at least 5 years. Tsh normal and ultrasound okay. Why would she have it? Lots of hypothyroid in family

How large?: Some enlargement of the thyroid gland is physiological around menarche. If her thyroid function is normal and the enlargement is not a cosmetic issue you may just watch and wait. ...Read more

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Does a thyroid ultrasound test for hypothyroidism or do you need to give blood?

Does a thyroid ultrasound test for hypothyroidism or do you need to give blood?

Hypothyroid: The ultrasound does not test for function. Blood-work is needed. ...Read more

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Is it possible to suffer from hypothyroidism with a TSH within normal range. My TSH is 1.1, but I had a thyroid ultrasound and have a 0.5 cm mass?

Is it possible to suffer from hypothyroidism with a TSH within normal range. My TSH is 1.1, but I had a thyroid ultrasound and have a 0.5 cm mass?

Technically.......: But it would be highly unlikely. If the brain doesn't put out enough TSH, the level of that is low to normal and the other hormones are quite low (thyroid NOT stimulated by TSH). the mass is perhaps NOT related because they are pretty common anyway. ...Read more

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How does the doc know that my hypothyroidism was caused by hasimoto's? I had an ultrasound done (no nodules), and TSH blood test, then he concluded.

Hashimoto's test: Hashimoto's (h) disease is an autoimmune disorder. Your doctor sent off your blood for TSH as well as antibodies against thyroid peroxidase. These are abnormal antibodies seen in h. You doctor made the diagnosis of h in your case based on the positive test for thyroid peroxidase antibodies. Ask your physician for confirmation of this. ...Read more

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25yo female recently diagnosed with hypothyroidism. Found multinodular goiter and cyst filled nodules during thyroid sonogram. What is the next step?

25yo female recently diagnosed with hypothyroidism. Found multinodular goiter and cyst filled nodules during thyroid sonogram. What is the next step?

See a specialist: See an endocrinologist who deals with thyroid nodules. You may need a needle biopsy/aspiration of the cyst/nodule, but it depends on what it looks like on ultrasound. ...Read more

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I have symptoms of an underactive thyroid and an enlarged thyroid but the ultrasound came back normal. What does that mean?

I have symptoms of an underactive thyroid and an enlarged thyroid but the ultrasound came back normal. What does that mean?

Thyroid levels?: An enlarged thyroid on exam is subjective. The us is better at asessing thyroid size and volume and to rule out other problems which sometimes can be seen on thyroid glands. If your thyroid hormone levels are normal, most likely your symptoms are not related to a thyroid problem. The normal us is reassuring. ...Read more

Dr. Su Fairchild
1,238 Doctors shared insights

Hypothyroidism (Definition)

When the thyroid gland is overactive and too much thyroid hormone is produced, which speeds up metabolism. This results in weight loss, a quick heartbeat, sweating, nervousness, ...Read more