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Doctor insights on: Thyroid Increased Echogenicity Consistent With Calcification

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I have a 4.2cm solid mass left thyroid homogeneous echotexture increased echogenicity and increased vascularity by us coold this be malignant?

I have a 4.2cm solid mass left thyroid homogeneous echotexture increased echogenicity and increased vascularity by us coold this be malignant?

Yes, but unlikely: Most thyroid nodules are benign. However, if this truly grew from 3.3 to 4.2 cm over the course of 1 month, that would raise the suspicion of thyroid cancer considerably. You clearly need to have a fine needle biopsy of this nodule performed. ...Read more

Dr. Ana Adelstein
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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Enlarged heterogeneous thyroid hyperechoic with mild echogenic nodules, sized. 09-1.5 CM normal labs? Seeing endo, wondering what this Is going to mea

Enlarged heterogeneous thyroid hyperechoic with mild echogenic nodules, sized. 09-1.5 CM normal labs? Seeing endo, wondering what this Is going to mea

Thyroid: Your endocrinologist will review your thyroid images and your thyroid laboratory data, but not until she/he takes your history, does a physical exam, and reviews your lab data.

There are many treatment options from doing nothing to surgery on your thyroid.

Thyroid issues are common but the success and control rate is quite high.

You should be fine. ...Read more

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Is liver showing diffuse increased parenchymal echogenicity with 2 small calcific foci in right lobe measuring about 2.5mm each is something to worry?

Is liver showing diffuse increased parenchymal echogenicity with 2 small calcific foci in right lobe measuring about 2.5mm each is something to worry?

Concern: This question is best answered by a gastroenterologist or hepatologist (liver specialist). I would be concerned about chronic liver inflammation or fatty infiltration. I assume that you have been instructed to abstain from alcohol. A liver biopsy may be indicated for diagnosis. ...Read more

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"The liver demonstrates mild diffuse increased echogenicity, most consistent with fatty liver infiltration or fibrosis." What does this mean?

"The liver demonstrates mild diffuse increased echogenicity, most consistent with fatty liver infiltration or fibrosis." What does this mean?

Distinguish diseases: Distinguish fatty liver (steatosis) from fatty liver with abnormal liver tests (steatohepatitis). Best to start with a weight loss diet based on calorie and fat restriction, avoid alcohol, control diabetes & cholesterol (if present). Your doctor will likely want to monitor your labwork, image the liver, & rule out other diseases that can mimick the pattern of liver tests seen with fatty changes. ...Read more

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US shows Multinodular thyroid (.6 cm, . 4 cm)goiter but predominate solid nodule is 3.2cm has new calcific and increased vascularity what does this mean?

Needs further workup: Any nodule over 1cm should undergo at the very minimum a fine needle aspiration biopsy. A recommendation may also be made to bypass the needle biopsy and proceed to thyroidectomy given the new calcifications which place the nodule in a higher risk category. Discuss these and other options with your primary care physician and/or specialist. ...Read more

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Recent ultrasound showed nodule on thyroid 1.3x0.8x1cm heterogenous calcification, hyperechoic focu likely due to colloid can you interpret this?

Recent ultrasound showed nodule on thyroid 1.3x0.8x1cm heterogenous calcification, hyperechoic focu likely due to colloid can you interpret this?

Most nodules benign: Thyroid nodules are often detected incidentally when a patient has neck us. Nodules may range in size from several mm to several cm. With frequency of ultrasounds obtained, incidental thyroid nodules are frequently found. Us can describe nodules and sometimes infer likelihood of benign vs malig. Biopsy most accurate with some specialists advocating biopsy of nodules greater than 1cm others 1.5 cm. ...Read more

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Have thyroid nodule 20 yrs with many U/S and FNA but U/S now shows scattered echogenic foci-calcify with increased vascularity - what does this mean?

Have thyroid nodule 20 yrs with many U/S and FNA but U/S now shows scattered echogenic foci-calcify with increased vascularity - what does this mean?

Consistency: A lot depends on what has happened to this nodule over the last 20 yr. Any growth? Is the calcification new? The best scenario is where the US and FNA are all being done by the same person; sometimes the "reports" say different things when it is really not changed. Often the best person is an Endocrinologist who does this, rather than a radiologist who is not a thyroid specialist. ...Read more

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Thyroid gland demostrates mild heterogeneous echogenicity & echotexture. Increased vascularity, in keeping with thyroiditis. Pls explain. Thanks.?

Thyroid gland demostrates mild heterogeneous echogenicity & echotexture. Increased vascularity, in keeping with thyroiditis. Pls explain. Thanks.?

Hashimoto's disease?: Common cause of ultrasound pattern with hyperemia is Hashimoto's thyroiditis. Can initially be hyperthyroid and eventually becomes hypothyroid. Usually an autoimmune disease with thyroid antibodies, When hypothyroid usually have to have thyroid hormone suppliments. ...Read more

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Diffuse increased echogenicity and coarsening of hepatic echotexture?

Diffuse increased echogenicity and coarsening of hepatic echotexture?

Non-Specific: These are not normal findings but they are non-specific. That is they do not give a "Diagnosis" Do you have an alcohol problem?? Have you ever had Hepatitis??? Are you on any Medications?? More info with a question may help. Hope this helps.

Dr Z ...Read more

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What could these liver ultrasound results mean: heterogeneous increased echogenicity and decreased echogenicity in some geographic areas.

What could these liver ultrasound results mean: heterogeneous increased echogenicity and decreased echogenicity in some geographic areas.

Ultrasound: It means that you have a fatty liver with areas of focal sparing. This may be related to a normal variant or may be related to diet. You should ask your doctor to correlate with liver function tests. ...Read more

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Is "increased echogenicity" a standard radiology term for fatty liver, or would it mean that the echogenicity increased since the first ultrasound?

Is "increased echogenicity" a standard radiology term for fatty liver, or would it mean that the echogenicity increased since the first ultrasound?

Ultrasound: The degree of echogenicity depends upon the ability of the tissue being evaluated to reflect or absorb the ultrasound waves. A fatty liver will attenuate (weaken) the ultrasound beam somewhat, decreasing echogenicity and limiting full evaluation of the solid liver tissue. The terminology on your report probably refers to the echogenicity of a specific area relative to surrounding areas of tissue. ...Read more

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Slight increased echogenicity of the renal pyramids bilaterally?

Slight increased echogenicity of the renal pyramids bilaterally?

Likely inflammation: Increased echogenicity of a tissue, usually indicates inflammation. It does not indicate why its there but its likely there. Given that the echogenicity is bilateral, tumors are not likely. The most common cause of such inflammation is a urinary tract infection. Consult your PCP for consideration of a Urology referral if you have other symptoms that are problematic. ...Read more

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What does diffusley increased echogenicity of the liver mean? (it was in an ultra sound reading)

What does diffusley increased echogenicity of the liver mean? (it was in an ultra sound reading)

Explanation: The term "diffusely increased echogenicity of the liver" is most commonly used in the ultrasound report to indicate that there is diffusely increased fat content in the liver, also called "steatosis". That can be due to diet, recent alcohol intake, body habitus, and some rare genetic conditions which result in the liver trapping fat. The best thing to do is to talk to your doctor. ...Read more

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My ultrasound revealed diffuse increased echogenicity and coarsened echotexture. What does that mean?

My ultrasound revealed diffuse increased echogenicity and coarsened echotexture. What does that mean?

It's Subjective: Generally, increased echogenecity indicates fatty infiltration, and coarsened echo texture (of the liver) could indicate cirrhosis (or hepatitis; among others), however, the findings are very subjective, cannot be graded and vary from observer to observer. If you have known liver disease (or even if unknown), consult a gastroenterologist for possible liver biopsy. ...Read more

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Discrete coarsened increased echogenicity of the liver with history of hemochromatosis meaning on ultrasound?

Discrete coarsened increased echogenicity of the liver with history of hemochromatosis meaning on ultrasound?

This is: A nonspecific finding on ultrasound though hemochromatosis in one of the many things that can cause this appearance. Magnetic resonance imaging (MRI) is the best imaging examination to evaluate abnormal iron deposition in the liver. ...Read more

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Slightly increased echogenicity of the medullary pyramids, suspect medullary nephrocalcinosis. What does that mean?

Slightly increased echogenicity of the medullary pyramids, suspect medullary nephrocalcinosis. What does that mean?

Medullary: Nephrocalcinosis refers to deposition of calcium salts in the medulla of the kidney. They are like tiny stones. There are many causes, including medullary sponge kidney, hyperparathyroidism, hypervitaminosis D, milk alkali syndrome, renal tubular acidosis, Cushings, hyperuricemia, and more. So you need to discuss the results with your doctor to determine what it might mean in your case. ...Read more

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My abdominal ultrasound shows that my liver shows increased echogenicity; what does that mean? Also shows my CBD. 40cm; what does that mean?

My abdominal ultrasound shows that my liver shows increased echogenicity; what does that mean? Also shows my CBD. 40cm; what does that mean?

Further testing poss: Increased liver echogenicity can be indicative of many things, the most common of which is fatty liver, a common problem for people who are overweight. The CBD is the common bile duct, which is normally less than 1 cm, so 0.40 cm is within the limits of normal. ...Read more

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7mm echogenic focus seen at left kidney (not sure of calcification)at upper pole. No hdm. Wat could be the reasons and treatment suggested?

7mm echogenic focus seen at left kidney (not sure of calcification)at upper pole. No hdm. Wat could be the reasons and treatment suggested?

More info is needed: To deduce what is needed for you in facing a 7-mm echogenic cyst, one needs to review & analyze your detailed clinical profile, although this small focus should carry no clinical significance and urgency at this time although worthwhile to be closely followed with repeating a same imaging study. How to done correctly? Follow instructions in http://www. Formefirst. Com/onDealSickness. Html. ...Read more

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Increased echogenicity of the pancreas?

Increased echogenicity of the pancreas?

Pancreas Lesion: A hyper echo genic lesion can represent a cyst or a tumor, as well as a localized area of scarring or inflammation. At your age, the lesion is more than likely to be benign. Was this an incidental finding, or did you have an ultrasound because you are symptomatic? I assume your doctor is planning to follow up with you on the finding, but if not, give him a call and discuss his thoughts. ...Read more

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What causes increased echogenicity of the medullary pyramids?

What causes increased echogenicity of the medullary pyramids?

Several things: Calcifications in the renal pyramids can cause increased echogenicity. This can be caused by abnormal calcium metabolism related to renal osteodystrophy or may be related to other diseases such as sickle cell disease or other conditions. If this is a new finding and there is no known cause, your physician may need to do a workup to find the etiology. ...Read more

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What causes increased echogenicity of the medullary pyramids?

What causes increased echogenicity of the medullary pyramids?

Tubular Ectasia: Renal tubular ectasia aka medullary sponge kidney is a condition that has dilatation of the tubules in the medullary pyramids with an increased tendency for stones and infection. The pyramids appear very echogenic on ultrasound. ...Read more

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Is it normal for a pancreas to have a slightly increased echogenicity on the ultrasound scan?

Is it normal for a pancreas to have a slightly increased echogenicity on the ultrasound scan?

Meaning?: It is really hard to know what this means. Why was this test done? Is there a history of pancreatitis? By itself, this kind of descriptor on an ultrasound means nothing unless it is correlated with clincial findings. ...Read more

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What is an avascular hypoechoic, complex cystic mass 3.7 x 2.3 x2.9, inferior is increased echogenicity 3.7 x 3.3 x 3.0 cm?

What is an avascular hypoechoic, complex cystic mass 3.7 x 2.3 x2.9, inferior is increased echogenicity 3.7 x 3.3 x 3.0 cm?

Need more info: You are describing an ultrasound finding, but it could mean different thing in different parts of the body. What body part contains the complex cystic mass? ...Read more

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Liver normal in size and shows increased echogenicity without any space occupying lesions. No infra-hepatic biliary radical dilation seen?

Liver normal in size and shows increased echogenicity without any space occupying lesions. No infra-hepatic biliary radical dilation seen?

Not sure question: Please resubmit in form of a question. You gave a statement but not certain of context or the question you are framing. Sorry... ...Read more

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Abdominal ultrasound:what does the following mean? "the liver shows mildly increased echogenicity compatible with fatty infiltration. No focal hepatic

Abdominal ultrasound:what does the following mean? "the liver shows mildly increased echogenicity compatible with fatty infiltration. No focal hepatic

Fatty infiltration: Is also called fatty liver. This is a condition known as steatosis in medical terms. Steatosis can lead to liver damage which can result in cirrhosis. Steatosis is associated with metabolic syndrome which is a collection of problems including diabetes and high blood pressure. You need to see your doctor and possibly a gastroenterologist if you liver labs are too bad. Time to start eating healthy. ...Read more

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Us on testes. What is a focus of increased echogenicity in the right epididymal head presumably on the basic of remote epididymal appendage torsion?

Us on testes. What is a focus of increased echogenicity in the right epididymal head presumably on the basic of remote epididymal appendage torsion?

Calcified remnant: With a history of unexplained pain at the capture of your epididymis, it is possible that you had torsion of an appendage (appendix epididymis vs appendix testes) that can become more dense (echogenic) on us. Extremely unlikely to be cancer. ...Read more

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My abdominal ultrasound shows that I have an increased echogenicity throughout the pancreas. What does that mean? How concern should I be? I am overwe

My abdominal ultrasound shows that I have an increased echogenicity throughout the pancreas. What does that mean? How concern should I be? I am overwe

Need symptoms: We need to 1st understand what symptoms were you having, & why the abdominal ultrasound was ordered. Also, a good understanding of ALL of your medical conditions (not just being overweight) would help. Do you have diabetes? Any digestive problems? These will factor in figuring out whether the ultrasound is "false positive" (due to weight/fat) or whether it is a real finding, & what to do next. GL. ...Read more