Doctor insights on:
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
thyroid u/s showed mildly heterogeneous echotexture of thyroid glan mild cervical lymphadenopathy small hypoechoic nodule rep parathyroid adenoma ?
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
Maybe: If you treat with levothyroxine, lowering the tsh, the goiter may shrink. But often it does not, at least not much. There is also a risk of inducing hyperthyroidism. If there is a cyst, aspiration of the cyst may shrink the gland, but the fluid in the cyst often comes back. If the goiter is big and compressing airway or esophagus, surgery may be needed. ...Read more
Size not important: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more
Typically no: Vocal cord nodules/cysts typically do not cause pain, but often hoarseness. If the cyst is infected or becoming too large, may cause pain and difficult breathing etc... Obviously you should follow-up with your doc about the nodule and make sure it is not malignant/canerous etc.. Good luck. ...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
U/s show mild lymphadenopathy small hypoechoic nodule inferior posterior to left lob of thyroid could rep aditional parathyroid adenoma/lymphadenopath?
Prominent vessels in lobe of thyroid, nodule on other lobe, hypothyroid, inconclusive fna of nodule?
Thyroid sono results:"heterogeneous gland suggesting multinodular goiter -no discrete dominant masses observed"-what does this mean?
Lumpy!: Opinions vary, but... Especially for women, thyroid nodules are very common. These are sometimes familial or inherited and are sometimes more common later in life. There is little to worry about, especially without a specific "dominant" nodule over ~1cm. You should get thyroid blood work and a followup ultrasound within a few months. If the gland is huge, you may need treatment. ...Read moreSee 2 more doctor answers
Small subpleural nodules in right upper lobe.Mild aread of fibrosis in bilateral apices.Mild mediastinal lymphadenopathy.Enlarged carinal lymph node.?
Unknown: Complete history, exposures, symptoms, etc... Would be critical. Subcarinal nodes could be sampled. In addition, depending on radiographic appearance and interpretation, could have lung biopsies as well. But, potential diagnosis is fairly large, numerous possibilities. ...Read moreSee 1 more doctor answer
Variable: Goiter simply means a growth in the thyroid. Three things: 1) what are your thyroid function tests? Hyperthyroidism is managed differently from goiters with normal or low function. 2) usually an ultrasound is done to look for nodules suspicious for cancer - with biopsy if needed, 3) goiters are sometimes removed if they are enlarging significantly or cause swallowing or breathing issues. ...Read moreSee 2 more doctor answers
Depends on cause: If it is a diffuse goiter, it may be caused by high tsh, which can arise in hypothyroidism or iodine deficiency (rare in usa, as salt is iodinated) or excessive goitrogens in susceptible ppl (like cauliflower). Treating the hypothyroidism can slow growth, if the above is the cause. If enlarging modules is the cause, surgery. Depends on cause, radioactive iodine may help. ...Read moreSee 1 more doctor answer