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Doctor insights on: What Does A Hyperechoic Foci In Nodule Mean

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Ultrasound: 2.6cm isoechoic mass in right hepatic lobe.14mm hyperechoic nodule in right anterior lobe. What does it mean?

Ultrasound: 2.6cm isoechoic mass in right hepatic lobe.14mm hyperechoic nodule in right anterior lobe. What does it mean?

Further Tests: Could be anything from nothing to metastatic lesions. Further evaluation could include ct and needle biopsy. Is there any history of a prior cancer? Abnormal liver enzymes? Alcohol abuse? Hepatitis? All could have a bearing on your further work-up. Good luck. ...Read more

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


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My TSH levels are normal, my T4 is almost low? What could this mean? I have 3 hyperechoic nodules on a diffused thyroid. Size .09 to 1.5 CM.

"almost" low: Means normal, so stop worrying about your lab values. Your nodules, on the other hand, need someone to evaluate your clinical parameters and ultrasound carefully and decide whether you need to have a thyroid biopsy. ...Read more

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Experiencing renal colic ~ 7 mo including 1 episode tht required ED visit. Dr ordered US Radiologist describes "a 1.3cm hyperechoic nodule" in kidney. Does this mean it's not a stone? Have history of KS.

Experiencing renal colic ~ 7 mo including 1 episode tht required ED visit. Dr ordered US Radiologist describes "a 1.3cm hyperechoic nodule" in kidney. Does this mean it's not a stone? Have history of KS.

Kidney stone: It is unclear what this finding represents. If it is "non shadowing" meaning that the souls wave energy used to produce a sonogram image penetrates the lesion, it is often not a stone but a benign mass called an angiomyolipoma or AML. If it shadows, it is likely a stone. An X-ray (KUB) or a CT scan can help determine the nature of this finding. If it is a 1.2 cm stone it needs to be treated. ...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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Liver cirrhosis- demostrates heterogenous coarse echotexture with nodular outline, echogenic foci are seen, what does it mean and need advise.

Liver cirrhosis- demostrates heterogenous coarse echotexture with nodular outline, echogenic foci are seen, what does it mean and need advise.

Cirrhosis: It means that the liver is not functioning well. You need to be evaluated soon by a liver specialist and will need further testing to find out reason why you developed this condition. Also, you need to get evaluated to find if there are any complications has developed due to cirrhosis. ...Read more

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What could 3 heterigeneous hyperechoic nodules in left lobe of thyroid be. Measurements are .9, 1.5,and 1.0.?

What could 3 heterigeneous hyperechoic nodules in left lobe of thyroid be. Measurements are .9, 1.5,and 1.0.?

Need further tests: Thyroid nodules can be benign or cancerous. You need to have a fine needle aspiration of the nodules to make sure that they are benign. Only about 5% of thyroid nodules are cancer but you need the aspiration to prove that yours are benign. ...Read more

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Are 3 nodules on thyroid 1.5, 1.0, and .9 hetergenorous and hyperechoic cancer.?

Are 3 nodules on thyroid 1.5, 1.0, and .9 hetergenorous and hyperechoic cancer.?

Unlikely: Most likely they are benign adenomas. Your doctor may follow them with repeat sonos if their imaging characteristics did not suggest malignancy. Possible there may be a needle biopsy done under local anesthesia. ...Read more

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What hetergenous hyperechoic thyroid nodules measuring 1.0 and 1.5 on left lobe.?

Thyroid nodule: Its means the cells are of different texture or type on imaging. I recommended a visit to an ENT — ear, nose, and throat or endocrine doc. Sounds like you need a biopsy, called a FNA. ...Read more

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A Hyperechoic Nodule 9x5mm in liver and an Iso-echoic Nodule 5.5x4.5mm in Gallbladder in body of my grandmother(76), can it be fixed without surgery?

A Hyperechoic Nodule 9x5mm in liver and an Iso-echoic Nodule 5.5x4.5mm in Gallbladder in body of my grandmother(76), can it be fixed without surgery?

Possible: Surgery for a GB is usually pretty simple, need to asses how much pain, what are her risks, other medical illness and see if this is right there are other treatments, not always better. ...Read more

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I have 3 thyroid nodules ranging from .7 – 1.5 CM but my lab was normal? What could this be the us showed 3 mild hyperechoic nodules & was diffused

I have 3 thyroid nodules ranging from .7 – 1.5 CM but my lab was normal? What could this be the us showed 3 mild hyperechoic nodules & was diffused

Nodules, normal labs: Hi. The only nodules that definitely are NOT cancer are hyperthyroid nodules (TSH would be suppressed to some degree, so labs not normal). Most nodules are associated with normal thyroid labs; most of these are benign, but the thyroid cancers are also among this group. The standard is to needle biopsy nodules 10 mm or greater in diameter; so normal labs only mean the nodule SHOULD be biopsied. ...Read more

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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 more

Dr. John To Dr. To
2 doctors agreed:
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Does a 1.1 cm ovoid, circumscribed hyperechoic nodule w/ accompanying internal color Doppler Flow in thyroid need a FNB? Not sure its necessary?

Dr. John To Dr. To
2 doctors agreed:

Probably not: This is a very complicated issue that we don't know the answer to yet. The nodule you describe does not meet the Kim criteria or the Society of American Endocrinologist criteria for FNA. It probably represents either follicular or Hurthle cell neoplasia which cannot be fully evaluated on FNA. Most likely if you have the biopsy, they will then recommend complete surgical excision. ...Read more

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3 thyroid nodules sizing from .9-1.5 cm. mild diffuse hyperechoic & hetergenorous. 6 weeks post childbirth. after childbirth. I'm scared. ?

FNAB: Hi. Hyperechoic is no guarantee. Your nodule(s) >10 mm need fine needle aspiration biopsy (FNAB). Don't be scared...most are benign. But by the same token, don't ASSUME benignity! Satisfy yourself with cold, hard facts...cytology (and, hopefully, genetic testing, such as Afirma). Good luck! ...Read more

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Diagnosed Hashimoto's. Sonar findings left lobe 9.7x10.2x35mm heterogenic nodule. Right hyperechoic nodule not vascular. Single hypo echoic lymphodus?

Diagnosed Hashimoto's. Sonar findings left lobe 9.7x10.2x35mm heterogenic nodule. Right hyperechoic nodule not vascular. Single hypo echoic lymphodus?

Not unexpected: Your findings are what would be expected. The important thing is to find out if you have low thyroid and whether thyroid replacement is required. Follow your doctor's advice. ...Read more

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Gallbladder without gallstones but with a few small hyperechoic nodules along its inner wall the largest measuring 0.8 x 0.9 x 0.6 cm compatible with small polyps versus adenomyomatosis. No Sxs. Treat?

Gallbladder without gallstones but with a few small hyperechoic nodules along its inner wall the largest measuring 0.8 x 0.9 x 0.6 cm compatible with small polyps versus adenomyomatosis. No Sxs. Treat?

Adenomyomatosis: Rarely, adenomyomatosis can progress to form sinus tracts or communications. If no symptoms, monitoring is appropriate as there is no malignant potential and ultrasound is a reliable imaging technique for diagnosis. It is something to keep in the back of your mind and to provide when giving a medical history in the future. ...Read more

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Presence of hypoechoic area in hyperechoic thyroid nodule. What it indicates? Nodule has increased vascularity

Uncertain: There are various characteristics of thyroid nodules on ultrasound, including hyperechoic, hypoechoic, isoechoic, cystic, complex, vascular, calcified, microcalcifications. Unfortunately, none of them can tell you for sure whether the nodule is benign or malignant. In your age group, we would be recommending biopsy of the nodule if it is 1 cm in size or larger. ...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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I have a hyperechoic nodule on the right hepatic lobe measuring 0.75×0.82×0.39 cm that is stable. Focal fat sparing in the periportal region noted. Gall bladder adenomyomatosis detected. Should I go for a further scan or it is just normal? This is my ultra

I have a hyperechoic nodule on the right hepatic lobe measuring 0.75×0.82×0.39 cm that is stable. Focal fat sparing in the periportal region noted. Gall bladder adenomyomatosis detected. Should I go for a further scan or it is just normal? This is my ultra

Maybe: You should discuss this with your doctor. Do you have underlying liver disease and would be at risk of a problem in the liver? Liver cysts are usually hypoechoic not hyperechoic. Adenomyomatosis is a benign condition and is not thought to predispose to cancer. Please follow up with your MD. ...Read more

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I have thyroid nodule for 20 years and grown from 2.7cm to 3.2cm in 4 yrs — now has scattered echogenic foci-calcify and increase vascularity-is canc?

Thyroid nodule: I would recommend you see an endocrinologist to determine if the nodule should undergo a needle aspiration biopsy. This can help determine if the nodule is benign or cancerous after which appropriate treatment can be undertaken. ...Read more

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I have 3 hyperechoic hetergenous nodules on left thyroid lobe. No symptoms normal blood work. Meeting with endo just week. Just nervous. Any ideas?

Probably normal: Nodules on the thyroid are most often benign and are common. I like that you are seeing an endocrinologist who could sort through the nodules to determine if any additional workup, such as a thyroid aspiration may be needed. Best of luck to you. ...Read more

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3 mild hyperechoic nodules on a diffused hetergenous thyroid need some info C Endo in Mar that's a ways away for peace of mind biggest 1.5 CM norm tsh?

Fine needle biopsy: Hi. Most hyperechoic nodules are benign, but obviously the question is cancer. The nodule(s) 10 mm and greater will need fine needle aspiration biopsy (FNAB) to look at cells; most endo's also do gene testing now on the sample). For peace of mind, the nodules are most likely benign and can be followed. FNAB results will clarify. ...Read more

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Ultra sound should 3 nodules on thyroid ranging from .9-1.5 CM hyperechoic & heterogeneous. Thyroid levels are good, lacking vitamin d tho? Help!

Ultra sound should 3 nodules on thyroid ranging from .9-1.5 CM hyperechoic & heterogeneous. Thyroid levels are good, lacking vitamin d tho? Help!

The ultrasound: Needs to be reviewed, lab studies need to be done and a thyroid biopsy is probably indicated. Check w/ your doctor. ...Read more

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Complex cystic hypoechoic nodules right parotid gland with internal vascular septations &calcifications Echogenic foci Biopsy in the future. Inconclusive?

Complex cystic hypoechoic nodules right parotid gland with internal vascular septations &calcifications Echogenic foci Biopsy in the future. Inconclusive?

Parotid mass: Your doctor will probably want an FNA, fine needle aspiration to obtain cells that can be examined by a pathologist. Probably will be benign but your ENT may suggest it be completely excised. ...Read more

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3cm hyperechoic thyroid nodule with increased vascularity, normal TSH fnac- follicular cell with hyperplastic area. What it indicates?

Uncertain: The fna can only help if it shows cancer. But in your case it is ambiguous, so your doctor should guide you what to do next?... What did he/she suggest as the next step? Most doctors would next recommend either surgical excision or monitor closely for some time and see if it is growing in size in which case it has to be taken out. ...Read more

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I have thyroid nodule measuring 29×20 mm in size usg report indicate a hyperechoic structure with increased vascularity my TSH n antibody normal?

Indeterminate nodule: Hyper-echoic nodule has 5% chance of malignancy and the risk increases with large dominant nodule. 20-30% of all cancers are iso/hyper-echoic.
Since this big nodule will be easy to biopsy — tissue diagnosis may be obtained to exclude malignancy. ...Read more

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Small lump in back of throat when swallowing. Have ill- defined mass just to the right of isthmus, isthmus nodule with several echogenic foci. Cancer?

2 different issues: A lump at the back of your throat might easily be a lymph node. If it has been there a while and isn't changing it probably needs to be biopsied to prove it's not cancer. You don't state risk factors such an alcohol and tobacco exposure. The thyroid nodule is in front and would have to metastasize to the node. 1-2cm 10% risk. ...Read more

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Could you explain my report. Stable foci of nodular pleural thickening measuring 3 mm along right minor fissure and 4 mm along right lateral inferior?

Could you explain my report.
Stable foci of nodular pleural thickening measuring 3 mm along right minor fissure and 4 mm along right lateral inferior?

There are lots: Of questions here. While you don't say, this sounds like a report from an imaging test such as a CT/MRI of the lung. The pleura is a thin membrane that covers the lungs. Thickening results from scarring, infection, tumors, etc. Unfortunately, most NODULAR pleural thickening is the result of cancer.either metastatic from the lung, breast or elsewhere, or mesothelioma. Your doctor can elaborate. ...Read more