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Doctor insights on: Ultrasound Thyroid Goiter Red Nodule

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I recently had an ultrasound done on my thyroid as I have a goiter. The ultrasound shows that there is a 3 mm nodule in the midpole right thyroid. There is a nodule in the midpole of the left thyroid measuring 12 x 10 x 11 mm. It contains a few punctate c

Need a biopsy: I would not be concerned about the 3 mm nodule but you should have the doctor who ordered the ultrasound refer you to someone who could do a fine needle biopsy on the larger one. If there are calcifications the risk of malignancy goes up but nodules of 12 mm are often benign and the biopsy could then reassure you ...Read more

Dr. Michael Gabor
2,239 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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I had my thyroid ultrasound done and I have a goiter and some nodules. What do I need to do now?

I had my thyroid ultrasound done and I have a goiter and some nodules. What do I need to do now?

Thyroid function?: You need to know your thyroid function level (free t4, tsh). If these are normal, the nodules are small (<1 cm), and you have no neck compressive symptoms from the goiter, usually observation is recommended. If a nodule is > 1cm and/or has suspicious characteristics on ultrasound, a fine needle biopsy may be needed. ...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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Hashimito's plus thyroid nodule. FNA benign 1 year ago. repeat ultrasound shows thickened isthmus from what was 4 MM to 6MM. is this same as goiter?

Hashimito's plus thyroid nodule. FNA benign 1 year ago. repeat ultrasound shows thickened isthmus from what was  4 MM to 6MM. is this same as goiter?

Possibly: Hashimoto's thyroiditis is chronic lymphocytic thyroiditis based on autoimmunity. On gross examination, there is often a hard goitre, not painful . Goiter is an abnormal swelling of thyroid resulting in a lump in the neck. It arises from many causes, including under- or overactive thyroid, iodine deficiency and, rarely, thyroid cancer If nodule enlarges and is cold may need bx again ...Read more

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I have multinodular goiter. Only way i knew was my throat was tight. I had a ultrasound which showed 2 nodules and thyroid test are normal.?

I have multinodular goiter. Only way i knew was my throat was tight. I had a ultrasound which showed 2 nodules and thyroid test are normal.?

Structure/Function: Nodules are a structural abnormality and do not always correlate with the functional status of a thyroid gland. Someone with multiple nodules can have a thyroid that is overactive or underactive, but most have normal thyroid function, and normal lab tests. ...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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What does ultrasound of thyroid-red and blood within a nodule mean?

What does ultrasound of thyroid-red and blood within a nodule mean?

Blood flow: The color doppler images show flow within a nodule. This really only indicates the nodule is made of solid tissue with internal blood vessels and, as such, is not a cyst. ...Read more

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Are thyroid nodules same as goiter?

Nodules and goiter: A nodule is a knot. You can have 1 or multiple in the thyroid. Goiter means an enlarged thyroid. Hence, you can have multiple nodules causing what is known as a mulitnodular goiter. ...Read more

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Is it dangerous to have cmplex thyroid cyst with nodule and slight goiter?

Is it dangerous to have cmplex thyroid cyst with nodule and slight goiter?

Worth checking: If the size of your thyroid is causing you symptoms of compression (pressure, pain, difficulty breathing or swallowing), then i would recommend that you have your thyroid removed. If any nodule is > 1cm then it should be biopsied. The complex cyst should be biopsied if there is any solid component. It may also be drained under ultrasound (us). Otherwise, just observe with yearly us. ...Read more

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What should I do if i hv both a cmplx cyst and a mild nodule in thyroid.I also hav slight goiter?

What should I do if i hv both a cmplx cyst and a mild nodule in thyroid.I also hav slight goiter?

Nodule: Depends on nodule size and characteristics. Over 1 cm or calcified or growing quickly are more concerning and may need biopsy. See a board-certified endocrinologist. ...Read more

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Is there any cure if your thyroid levels are normal but u have extremely high thyroid peroxidase and a goiter with nodules?

No cure: However, you have hashimoto's and may become hypothyroid in the future. Have yearly check of the TSH or more frequently if you plan to get pregnant! TSH levels should be under 2.5 - 3.5 non pregnant. "normal" tshs of 4 or 5 are not normal. ...Read more

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I had only 1 small nodule on thyroid and within a year now have multiple complex cysts and goiter? Is it safe two wait 2 months to see Endo? Concern?

I had only 1 small nodule on thyroid and within a year now have multiple complex cysts and goiter? Is it safe two wait 2 months to see Endo? Concern?

Almost certainly: Hi. You are almost certainly safe waiting 2 months to see the endo. Glands like yours are very unlikely to be cancer. I would assume your primary care doc has checked your thyroid function before referring you, and you've obviously had a thyroid ultrasound. Please bring any data (labs, ultrasound, etc) with you to the endo appointment. Statistically, that thyroid isn't likely to cause trouble. ...Read more

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I woke up with a large lump on thyroid. US showed goiter, multiple nodules with 2 of them > 3 cm. Labs = normal. Can that happen that quick? Im 35.

Thyroid cysts: A thyroid cyst/s can expand and enlarge quickly. Most likely, these are not new but just expanding. The ultrasound can tell you about the characteristics of the nodules and whether or not they have fluid components. If there is something solid in them, they need to be biopsied. If there are many and they are causing swallowing issues already, surgery might be an option. ...Read more

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How long do thyroid goiters and nodules take to develop?

Goiter: Thyroid nodules and goiters are slow growing and take years to grow. However, there could be a more rapid increase in size due to tumors, inflammation, pregnancy, bleeding within the nodules, or thyrotoxicosis (hyper functioning gland). For this reason, once diagnosed, most physicians recommend thyroid nodules/goiters be monitored with annual examination and thyroid ultrasound. ...Read more

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I have 5 "nodules" in my thyroid, 2 of which have grown their own vascular rims. How serious is this? I have 5 "nodules" "goiters" or whatever word d'jour pops up. Two of these growths have grown their own vascular rim, and no one is doing anything. I

Multinodular goiter: Multi nodular goiter (mng) is likely what you are describing. This condition often times does not cause thyroid hormone problems but if it does, then the term functional or toxic mng is applied. In either scenario, the options including just monitoring nodular size by us versus thyroid removal, either surgically or via radioactive iodine. Seldom that use of thyroid hormone therapy will be helpful. ...Read more

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I have thyroid cyst what should I do?I also hv mild nodule n goiter.

I have thyroid cyst what should I do?I also hv mild nodule n goiter.

Size matters: If the size of your thyroid is causing you symptoms of compression (pressure, pain, difficulty breathing or swallowing), then i would recommend that you have your thyroid removed. If any nodule is > 1cm then it should be biopsied. Otherwise, just observe with yearly or every other year ultrasound. ...Read more

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What is the difference between thyroid nodules (thyroid normal size with several nodules on left an right side) and goiter?

Thyroid: Thyroid nodules are projections from the gland can be 'hot' or 'cold' meaning they may or may not function and produce hormone. These need follow up. Goiter is when the gland is enlarged and this can occur from iodine deficiency and other entities. ...Read more

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I have hypothyroidism, goitered thyroid, and a nodule on my thyroid.Dr sending me for riut to see if nodule is hot or cold. Is this the right procedure?

I have hypothyroidism, goitered thyroid, and a nodule on my thyroid.Dr sending me for riut to see if nodule is hot or cold. Is this the right procedure?

No: You only go for uptake and scan if the TSH is low. If you have a "hot" nodule, your TSH will be low. If not, the raiu won't help. You need to get a TSH drawn first. For the nodules, depending on size, you will need close follow up or a thyroid biopsy. ...Read more

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Nodule (Definition)

Any growth or deposit in the body or on its surface may be casually termed a nodule until its character is determined by the familiarity of the physician with it or by the results of a biopsy if it is not so obvious. The term is casual ...Read more


Dr. Steve Martinez
311 doctors shared insights

Thyroid Enlargement (Definition)

Thyroid enlargement refers to a thyroid gland that is larger than normal. The thyroid gland is located in the front of the neck, below the Adam's apple, and may become enlarged due to hyper or hypo-thyroidism. An enlarged thyroid is also ...Read more