Doctor insights on:
Unremarkable Thyroid Sonogram
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
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
Thyroid sono showed heterogeneous gland with multinodular goiter(positive hashimoto's diagnosis;on synthroid)-follow up sono when?
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
Need more info: Not sure what you mean by "test results" but u cannot know that u have multinodular goiter from a blood test. A thyroid ultrasound can give u this diagnosis in which case u will need a blood test called TSH to know what to do next. No thyroid scan needed unless the TSH is low. Thyroid ultrasound vs. Biopsy might be needed depends on the size and characteristics of the nodules but need more info. ...Read moreSee 2 more doctor answers
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
Diagnosed grossly hypothyroid /hashimoto, feeling worse as weeks go by, ultrasound scan reads thyroid demonstrates a heterogenous nodular echo texture?
Low TSH Borderline low T4 normal t3 (liothyronine). Thyroid uptake scan..low uptake noted w\o nodules. Radiologist said HYPOTHYROIDISM?! All other possible test norm
Need follow-up: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, there is inconsistency in your results. Both TSH and T4 being low does not add up. You may need to repeat the lab tests, not necessarily the scan, in about 6 months to see what direction these results are going in. ...Read more
Tsh level 5.58, no symptoms, u/s found 1cm subtle hypoechoic nodule w/increased peripheral vascularity. Pcp ordered rai uptake scan before fna. Why?
I have no idea: Hi. It's not a hyperactive nodule...we know that from the TSH. I'd go straight to an FNA. The scan will show a "cold" nodule, which we already know it is, and will not help differentiate benign from cancer. FNA cytology (hopefully with gene testing) is all you need at this point. Good luck. ...Read moreSee 2 more doctor answers
Thyroid us: diffusely heterogeneous thyroid w/o well-defined dominant nodule, isthmus enlarged. Thyroid ab tests are neg, tg = 88.7 (<55). Diagnosis?
I have 3 thyroid nodules. Measuring .9-1.5. Thyroid bloodwork is normal. Hyperechoic hetergenous is what ultra sound shows. Help!! ?
Thyroid nodules: The vast majority of thyroid nodules are benign. Mutlinodular disease (goiter) is common. The larger the nodule the more worrisome they are. Ask your doctor how large a nodule must be before considering an FNA (fine needle aspiration). Most of these are handled by radiologists,endocrinologist as well as ENT's (ears, node & throat) specialists. Most likely benign but see your doctor. ...Read moreSee 1 more doctor answer
Tsh @ 6.85, ft4 normal ultrasound: normal size, extremity heterogeneous, normal vascularity but irregular heterogeneous nodule 1.1x0.7x0.7cm. Cancer?
Not Likely: Thyroid nodules are very common. About 70% of the population has a nodule (many don't know it). About 5% of nodules are cancerous, which is why we care. If there were concerning characteristics on the ultrasound like microcalcifications, taller than wide, >1cm or increased blood flow or you have a family history or radiation exposure we like to perform an fna biopsy to check for cancer. ...Read moreSee 2 more doctor answers
Ultrasound showed circumscribed solid 2.7cm nodule. FNA showed Follicular lesion.Thyroseq was non diagnostic. Need 2nd FNA and 2nd thyroseq.Why?
More information: Dear patalbre34: Are you referring to a thyroid ultrasound? If so, most likely, the FNA and Thyroseq were not enought to make an accurate diagnosis. The needles used for this procedure are very tiny and sometimes the amount of tissue that you get from them is not enough to make an accurate diagnosis. Hope this helps. All the best, Ariel ...Read more
Thyroid US- heterogenous thyroid parenchyma with hypervascularity, suggestive of underlying parenchymal disease, no discrete thyroid nodule. Meaning?
Thyroiditis?: Need correlation with thyroid function tests. Why did you have the ultrasound? Your doctor is the one to put this all together for you. ...Read more
thyroid u/s showed mildly heterogeneous echotexture of thyroid glan mild cervical lymphadenopathy small hypoechoic nodule rep parathyroid adenoma ?
Depends: This depends on the organ of interest. This is not uncommon with the ovaries and uterus as us has an advantage. This is same with the breasts as well. As for other organs in the abdomen, sometimes it may depends on the patient's body habitus or lack of intravenous contrast/dye that some finding may not be apparent on ct. ...Read more
What is this slight heterogeneity to echo texture of thyroid parenchtma but no nodules detected. Thyroid ultrasound done 1-8-15?
Thyroid ultrasound shows new mural nodule, calcifications, masses, lesions, and lymphadenopathy. Possible cancer?
Thyroid U/S showed L thyroid gland heterogeneous hypoechoic nodule w/ mind internal vascularity. what does all this mean? FNA recommended.
Means abnormal test: Ultrasound is a commonly used test for detection of Throid nodules which are quite common. So when the ultrasound shows a Thyroid nodule, it needs to be monitored and often a Biopsy is required to find out if the nodule is benign or cancerous. FNA is one such technique for obtaining a biopsy for making a diagnosis. ...Read more