Doctor insights on:
Sonogram Of Thryoid
Thyroid ultrasound showed heterogenous echogenicity hypervascular thyroid. Thyroid labs normal. Any thoughts on what this is?
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
Recent thyroid ultrasound with results of hyperechoic nodule at the left lower thyroid, and heterogeneous echotexture. What happens next?
Yes: Solid thyroid masses that are large, have characteristic internal calcifications, irregular borders, increased blood flow on doppler ultrasound, and/or enlarged lymph nodes in the area are generally concerning for malignancy. However, when we biopsy these nodules with a needle most turn out benign. ...Read moreSee 2 more doctor answers
Different no better: A thyroid nuclear uptake and scan is a functional test of your thyroid. It is useful in differentiating causes of thyrotoxicosis (excessive amounts of thyroid hormones in the body). A thyroid ultrasound is better to assess the anatomy of the thyroid gland and for guidance if biopsy is needed. ...Read moreSee 1 more doctor answer
Single hot 1 CM nodule on thyroid scan with normal thyroid blood panels & uptake. Chances of malignancy?
Not likely: "hot" nodules are rarely cancer and most often represent benign follicular adenomas. These are also known as "autonomous" nodules because they make thyroid hormone but don't respond to the body's normal signals telling them when to stop making the hormone. The vast majority of thyroid cancer nodules are "cold" on a thyroid scan. ...Read more
Thyroid nodule of the right lobe. Fna indicated follicular lesion-also hypothyroid, family history of malignant thyroid nodules. Options?
Surgery or...: A repeat biopsy combined with an afirma assay test may give you somewhat better guidance, but with your history and risk factors, surgery may be the best option. By the way, why are you taking generic T4 an Armour Thyroid together? There is no way to monitor the dosage properly as the lab tests will be unreliable. Brand name T4 is better, safer and more reliable. ...Read more
Thyroid ultrasound shows heterogenous hypervascular echogenicity. No nodules. Thyroid labs were normal. Any ideas on what this is?
What thyoid labs?: There are many thyroid labs and most docs do not check enough of them? This ultrasound is consistent with grave's disease and thyroiditis. With grave's standard thyroid tests would usually be abnormal but might look ok with thyroiditis. Please make sure anti-thyroid antibodies (anti-tpo and anti-thyroglobulin) have been checked, as well as free t3 (liothyronine) and reverse t3 (liothyronine). ...Read more
Many possibilities: An enlarged thyroid (goiter) has many causes and possible treatments. Is it causing hyper/hypothyroidism (i.e. Graves disease, toxic goiter)? Check tsh, ft4. Maybe anti-tpo. Is the goiter nodular or smooth? This may require an ultrasound, with biopsy of any suspicious nodules. Is it really big and impair your swallowing/breathing? Then maybe surgery. See your endocrinologist. ...Read more
What is this slight heterogeneity to echo texture of thyroid parenchtma but no nodules detected. Thyroid ultrasound done 1-8-15?
Could be: It is difficult to reliably sonographically differentiate hashimoto thyroiditis from other thyroid pathology. Ultrasound features can be variable depending of the severity and phase of disease. A diffusely enlarged thyroid gland with a heterogeneous echotexture is a common sonographic presentation. ...Read more
Thyroid gland is increased in vascularity suggestive of underlying thyroiditis.....
Tsh is normal?
Happens regularly: This picture is encountered relatively often. Think of it as if the thyroid is inflamed but still has enough reserve to produce adequate hormone. It can be seen in conditions like subclinical thyroiditis or in hashimoto's disease, after the thyroid is "burnt out" and doesn't produce elevated hormone, but before the hormone levels become low. See an endocrinologist for more information. ...Read more
My wife had a thyroid ultrasound and showed heterogenous echogenicity, hypervascular thyroid gland.No masses or nodules. Any thoughts on what this is?
Could be Hashimoto's: Is the gland normal is size or enlarged? If normal-sized, could be hashimoto's. If enlarged it could be grave's disease, both of which are autoimmune diseases. She should find out if she's hypo- or hyperthyroid and have additional testing to see if she has hashimoto's. ...Read more
Thyroid nodule: The thyroid nodule is not likely to be caused by pregnancy. Transient mild hyperthyroidism can sometimes be seen in the first trimester but should resolve as long as it is not an underlying problem that has not been diagnosed. Would suggest repeating labs for thyroid function at 16-18 weeks. Should talk to your doctor. ...Read more
Thyroid found to be slightly heterogeneous on ultrasound. Isoechoic nodule measuring 7mm mid left lobe. Fam history of thyroid cancer. Concerning?
Not concerning.: Isoechoic thyroid nodules are generally not concerning especially when they are less than 1.5 cm and if they don't have suspicious features like microcalcifications and increased internal vascularity. I recommend repeat thyroid US in 1 year. Make sure you have got your TSH and Free T4 checked. ...Read more
Prominent vessels in lobe of thyroid, nodule on other lobe, hypothyroid, inconclusive fna of nodule?
Thyroid Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?have Hypo symptoms
Elevated: TPO levels are associated with autoimmune thryroid disease/thryoiditis, for example Hashimoto disease. The thyroid US findings are also consistent with thyroiditis. Talk to your doc about next steps. ...Read more
Thyroid swelling. Ultrasound heterogenous thyroid parynchema with hypervascularity. Blood test-normal tsh t4 t3 (liothyronine) etc but >1300 TPo antibodies?
Hard to say: Ive yet to have anyone NOT have elevated TPo but I havent sent many. The standard answer would be that it likley is GRAVES disease starting but if there arent a lot of symptoms and the labs are normal you wouldnt give treatment. Retesting if symptoms and at about every 3 months. ...Read moreSee 1 more doctor answer
Is the risk of thyroid carcinoma increased with diagnosis of hashimoto thyroiditis when multiple thyroid adenomas are present. Tyab 2470?
Not if they function: If the adenomas are "cold" or do not function, then they are likely to be malignant. They do not show up on radionuclide scan because they do not function. Otherwise they are unlikely to be malignant. However, since you have many of them, you likely need and should get further workup, like aspiration biopsy, etc., along with treatment for your hashimoto's. ...Read more
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