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Doctor insights on: Substernal Thyroid Clavicle

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Dr. James Dukelow
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


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My thyroid u/s show mild cervical lymphadenopathy small nodule inferior posterior left lobe of thyroid Additional parathyroid adenoma/lymphadenopathy?

Specialists: These findings are best evaluated by a Thyroidologist/endocrinologist collaborating with a skilled head and neck surgeon. More than likely a needle biopsy of the thyroid nodule and possibly a ct scan of the neck will be recommended. The radiologist will thoroughly review these images with the specialists. ...Read more

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Left lobe thyroid well vascularized nodule?

Left lobe thyroid well vascularized nodule?

Biopsy?: Depends upon lab and ultrasound findings, but probably should be biopsied. Check w/your physician. ...Read more

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T3 (liothyronine) 5.38 T4 > 24.86 TSH < 0.005, diffuse enlargement of thyroid, enlarged left level III lymph node (19x5mm), multiple sub-cm pretracheal lymph nodes?

T3 (liothyronine) 5.38 T4 > 24.86 TSH < 0.005, diffuse enlargement of thyroid, enlarged left level III lymph node (19x5mm), multiple sub-cm pretracheal lymph nodes?

Thyroid enlargement: You do not give the "normal range" of values, but it appears you are hyperthyroid (elevated ft4, low tsh). Thyroid is diffusely enlarged (no nodules). This is consistent with graves disease. There is a significant lymph node, but this can occur with graves, and does not necessarily suggest cancer. You need to see an endocrinologist to sort through the information. ...Read more

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Are left chest pain and papillar thyroid carcinoma connected?

Are left chest pain and papillar thyroid carcinoma connected?

Not necessarily: Thyroid cancer can be without symptoms other than swelling in the neck or abnormal thyroid function levels on bloodwork. If it does cause symptoms, it can give an appearance of an overactive thyroid: weight loss, racing heartbeat, feeling hot when others feel comfortable, diarrhea, and anxiety. You don't have to have all of these symptoms. Start with bloodwork to see if your levels are ok. ...Read more

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What causes short pinching pains in chest above left breast below collarbone? Pcp says heart ok.CARDIAC ANXIETY! Shoulder and neck tension!

What causes short pinching pains in chest above left breast below collarbone?   Pcp says heart ok.CARDIAC ANXIETY!  Shoulder and neck tension!

Likely correct: Depending on what, if any, testing your PCP did to come to his/her conclusion, the general characteristics you describe are not primarily cardiovascular. Musculoskeletal or less likely, gastrointestinal, causes may be the culprit. Not likely warranting a stress test, but for your anxiety, may be considered (though your insurance company may disagree...keep that in mind) ...Read more

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Thyroid ultrasound1.4x1.1x1.1cm rim calcified nodule left mid thyroid.Well circumscribe hypoechoic1.4x1.9x1cm nodule w/mild internal flow.Is it cancer?

Thyroid ultrasound1.4x1.1x1.1cm rim calcified nodule left mid thyroid.Well circumscribe hypoechoic1.4x1.9x1cm nodule w/mild internal flow.Is it cancer?

Let's find out: This may be nothing but a colloid nodule in a developing nodular goiter. If the radiologist can't rule out cancer, you may be getting a fine-needle aspiration. With this pattern of calcification, it's unlikely to be an aggressive tumor even if it is cancer. ...Read more

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7mm hypoechoic thyroid nodule and pregnancy related hyperthyroidism. Nodule caused by this?

7mm hypoechoic thyroid nodule and pregnancy related hyperthyroidism. Nodule caused by this?

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

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Non calcified lung nodule brac1+ history of breast ca in 08 bilat mastectomy is this nodule ca? Enlarged lymph in neck and axil. Hoarse

Non calcified lung nodule brac1+ history of breast ca in 08 bilat mastectomy is this nodule ca? Enlarged lymph in neck and axil. Hoarse

See your doctor: None of us can answer this question without looking at the scans and examining you in person. This is best answered by your oncologist and surgeon. I highly recommend that you make an appointment and get evaluated and have a conversation with them. Good luck with everything. ...Read more

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5 day pain on off under ribs,left armpit,top of breasts, jaw sholdr.normal heart ratebreath,bp.cardiac ct,chest ct, ecg,echo cardiac all normal??

5 day pain on off under ribs,left armpit,top of breasts, jaw sholdr.normal heart ratebreath,bp.cardiac ct,chest ct, ecg,echo cardiac all normal??

Non cardiac chest pa: Since all your studies are all normal , I suspect the issue of your chest pain is not related to your heart . Perhaps it may have been related to a viral illness that caused some joint and muscle inflammation , that since has resolved . If there is a recurrence ,of the same symptoms , see a Rheumatologist . ...Read more

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Lymph nodes neck & chest enlarged over last year, antibiotics x4, now pain under left rib cage/ shoulder on insp, dyspnea. Ct show splenic lesions?

Lymph nodes neck & chest enlarged over last year, antibiotics x4, now pain under left rib cage/ shoulder on insp, dyspnea.  Ct   show splenic lesions?

Biopsy: I would recommend getting a biopsy of one of the enlarged lymph nodes. Antibiotics may not help here. Further studies need to be done. Ask your physician what they are thinking... ...Read more

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3/3 hr 104-118 even when resting cause? History hyperthyroidism controlled w/left thyroidectomy no thyroid medicine hbp have right side of thyroid

3/3 hr 104-118 even when resting cause? History hyperthyroidism controlled w/left thyroidectomy no thyroid medicine hbp have right side of thyroid

TSH? : Check your tsh. There is an entity called "inappropriate sinus tachycardia" in which people have a high resting heart rate for no reason, but excess thyroid would have to be ruled out first as well as many other possible contributing factors. You would need a full evaluation with echocardiogram, chest x-ray, & blood work as a starter. ...Read more

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Can lung cancer cause a palpable lymph node on the rib cage (specifically lower left rib cage)?

Can lung cancer cause a palpable lymph node on the rib cage (specifically lower left rib cage)?

Not a lymph node: There are no lymph nodes at the location you describe, so what you are referring to may be a soft tissue mass like lipoma lung cancer can spread to lymph nodes inside the chest or to those above the clavicle (collarbone) or in the armpit ...Read more