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Doctor insights on: What Does Hypoechoic Thyroid Nodule Mean

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Right side upper pole solid hypoechoic single thyroid nodule mean? Worried..

Depends: It all depends on the size and if it is new. There is a need to do needle aspiration if not sure ...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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What does a small non reactive left submandibular lymph node and a right side upper pole solid hypoechoic single thyroid nodule mean? Worried..

Benign: Small reactive node means just that, ...... no worries just follow up

Solitary solid nodule can be benign... rec thyroid I uptake scan if hot benign if cold on uptake scan consider biopsy
...Read more

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What is a hypoechoic thyroid nodule exactly?

What is a hypoechoic thyroid nodule exactly?

Fewer echoes on US: Hypoechoic describes the appearance of a nodule on ultrasound (us). It refers to a nodule that reflects back fewer sound waves compared to the normal thyroid tissue around it. While most thyroid cancers are hypoechoic, most hypoechoic nodules are not cancers. But a hypoechoic nodule may have a slightly higher risk of being a cancer than other nodules. ...Read more

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I have 2 thyroid nodules and 1 is hypoechoic and the other complex should I worry?

I have 2 thyroid nodules and 1 is hypoechoic and the other complex should I worry?

Depends: Hypoechoic, hypervascular, or calcifications on ultrasound need to be addressed particularly if the nodule is > 10mm. The solid component of a complex nodule can be benign or cancer. Typically a nodule greater than 10mm should be biopsied by ultrasound or smaller if there are calcifications or prior history of radiation or family hist. There is no ultrasound pattern that is diagnostic for cancer. ...Read more

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Dr said follow up u/s in one year for 7 mm hypoechoic thyroid nodule. Is this too long to wait? Or normal?

It should be Ok: Most thyroid nodules are either benign or very slow growing. So a recheck in 6 months to 12 months later is quite reasonable. ...Read more

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Single hypoechoic solid thyroid nodule over 1cm with mild vascularity?

Hyperplastic nodule: This sounds like a hyper plastic nodule. These are usually benign. In the absence of prior studies, this usually is followed up to show it's stable nature. If it changes or grows it would need a biopsy. Nonetheless would suggest an in depth discussion with your doctor ...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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What may be a possible cause of increased peripheral vascularity around a 1cm slightly hypoechoic thyroid nodule?

Inflammation: A hypoechoic nodule could compress normal tissue and vessels. Inflammation around nodule might also increase flow. ...Read more

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Is it true that the majority of thyroid nodules are hypoechoic and although thyroid cancer is usually hypoechoic, most hypoechoic nodules are benign?

Is it true that the majority of thyroid nodules are hypoechoic and although thyroid cancer is usually hypoechoic, most hypoechoic nodules are benign?

Size?: It is correct that in younger people thyroid nodules are benign, however, us is not very good at ruling out malignancy. Close follow up of the nodule is needed with us every 6 months. If the nodule is larger than 1 cm, fine needle aspiration biopsy needs to be considered. ...Read more

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12mm slightly complex THYROID nodule (R) + 10x6x5mm hypoechoic nodule (R). Impression: largest predominantly solid appearing nodule is 10mm. GET FNA?

12mm slightly complex THYROID nodule (R) + 10x6x5mm hypoechoic nodule (R). Impression: largest predominantly solid appearing nodule is 10mm. GET FNA?

FNA: The 12 mm nodule and the 10 mm nodule should both get an FNA. I'd advise doing the FNAs with thyroid cancer gene panel testing. Most are benign, so please don't be concerned until and unless you get bad results from the FNAs. Good luck! ...Read more

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.6mx.5mmx.3.4mm cystic thyroid nodule which is hypoechoic. Cancer risk? Grow. 2mm since 1, 5 years. Really worrying that's hypoechoic please explain

.6mx.5mmx.3.4mm cystic thyroid nodule which is hypoechoic. Cancer risk? Grow. 2mm since 1, 5 years. Really worrying that's hypoechoic please explain

Likely benign: Cystic hypoechoic nodule is usually benign particularly without solid components. However some malignant tumors have cystic components. 0.2mm growth in 11/2 years is slow growth. Most malignant tumors grow faster. Most nodules less than 1 cm are not biopsied. Most small nodules are usually benign. You are correct in getting follow up US exams. Hyperechoic lesions are denser sometimes with calcium. ...Read more

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1 year thyroid nodule follow-up revealed a new thyroid nodule and the other one is no longer there. They were both hypoechoic. Chance this is cancer?

1 year thyroid nodule follow-up revealed a new thyroid nodule and the other one is no longer there. They were both hypoechoic. Chance this is cancer?

It is usually benign: The risk for a thyroid nodule to be cancerous actually is only 5-6%- and majority of thyroid nodule is benign.
Having said that, the risk of developing thyroid cancer will be higher if you have significant risk like previous exposure to radiation to the neck area at early age (childhood), family history of thyroid cancer etc.
You need to continue to f/u with your doctor and sono as indicated. ...Read more

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Nodule on thyroid. Then did a FNA. The result was 1.7cm "Left thyroid nodule is heterogeneous & mildly hypoechoic. Any reason to worry?

Nodule on thyroid. Then did a FNA. The result was 1.7cm "Left thyroid nodule is heterogeneous & mildly hypoechoic. Any reason to worry?

What did FNA show?: The description you give is of the ultrasound, not the fine-needle aspiration. Yes, I'm worried. But you do need to find out what the FNA showed. If there's any reason to think this is cancer, address it without delay. Best wishes. ...Read more

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I have a thyroid nodule that has increased in size from mm's to 1.6cm and hypoechoic associated with calcification. Increased blood flow also?

Needle Biopsy: It is likely that there will be a recommendation for a needle biopsy of the nodule. This is done usually under ultrasound guidance and local anesthesia as an out-patient procedure. If there is evidence of a cancer then further treatment such as surgery will be required. Good luck. ...Read more

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3 thyroid nodules, hypoechoic solid nodule with few tiny calcified 1st FNA is benign follicular lesion and 2nd is benign follicular nodule, possible?

3 thyroid nodules, hypoechoic solid nodule with few tiny calcified 1st FNA is benign follicular lesion and 2nd is benign follicular nodule, possible?

Thyroid follicles: Most likely, the ultrasound is picking up benign follicular cysts, or areas of "colloid" (where thyroid hormone is made) arranged in a circular pattern or nodule. From the description (& the 2 FNA biopsies) it's unlikely to be cancer. In certain parts of the world (40% of it), iodine deficiency is common & thyroid nodules are prominent. Http://www. Mayoclinic. Org/diseases-conditions/thyroid-nodules ...Read more

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1st FNA is benign follicular lesion, u/s ;hypoechoic thyroid nodule with few small calcifications, 2nd FNA ; hard consistency solid nodule, %ofcancer?

1st FNA is benign follicular lesion, u/s ;hypoechoic thyroid nodule with few small calcifications, 2nd FNA ; hard consistency solid nodule, %ofcancer?

Talk to YOUR MD: You clearly have a thyroid problem, and this needs to be discussed in context of the bigger clinical picture. If you have had FNA done, you have a doc following you. See them and ask what this means in your case and what should be done next. Lab results never occur in isolation. They occur in people, and the whole person has to be considered when making a diagnosis and treatment plan. Best wishes! ...Read more

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Thyroid nodule at 3.4 x 4.7 x 2.3cm. Blood tests confirm all is normal. Ultrasound shows heterogeneous iso/small area hypechoic. Chances of cancer?

Thyroid nodule at 3.4 x 4.7 x 2.3cm. Blood tests confirm all is normal. Ultrasound shows heterogeneous iso/small area hypechoic. Chances of cancer?

Yes, some: You need to see an endocrinologist. Who would likely do a fine needle aspiration (fna) biopsy. Thyroid cancer needs to be ruled out by further testing. It has to be a consideration in your case. But thyroid cancer is easily treatable and highly curable (>95%). ...Read more

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What does a thyroid nodule in the right lobe mean?

What does a thyroid nodule in the right lobe mean?

Very common...: And most patients have them by the time they are elderly. The vast majority are benign. Please see your physician to review/obtain blood work, physical examination and any necessary imaging. Some nodules need to be biopsied to determine if it is benign. Your physician can work out an appropriate plan to manage your thyroid nodule. ...Read more

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What does increased vascularity in thyroid nodule mean?

Increased blood flow: There is more blood flow to the thyroid nodule than the surrounding thyroid tissue. Could represent an adenoma or tumor. Needle biopsies are frequently done for further evaluation if a nuclear scan is not helpful. ...Read more

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What does heterogeneous mean when it comes to a thyroid nodule?

What does heterogeneous mean when it comes to a thyroid nodule?

It means irregular: Heterogeneous is the opposite of homogenous. Any thyroid nodule which is irregular and over 1cm in size needs to be investigated further. This may need a biopsy especially if it is growing or has increased in size over a period of 3 months. You should have your doctor guide you or send you to an endocrinologist. For a second opinion and further advice. ...Read more

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What is a right thyroid hypodense nodule mean? I understand thyroid nodule but what is hypodense

What is a right thyroid hypodense nodule mean? I understand thyroid nodule but what is hypodense

Decreased echoes: Ultrasound exam of thyroid gland can show nodules of decreased echogenicity (hypo dense or hypo echoic)), increased echogenicity (hyper dense or hyper echoic) or mixed with areas of both imaging qualities. Hypodense has usually more consistency of fluid like cyst and hyper dense more like solid tumor. ...Read more

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My husband has been diagnosed with thyroid nodules which are solid and have micro calcifications. What does this mean?

My husband has been diagnosed with thyroid nodules which are solid and have micro calcifications. What does this mean?

Needs a biopsy: The most common form of thyroid cancer (papillary) has certain features on us that let us know if a nodule is worrisome. Microcalcifications is one of them. He should have a biopsy. Although thyroid ca is generally curable, it is a bit more serious in males than females and thus this should be followed up with a u/s guided - needle biopsy by an experienced physician. ...Read more

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What can thyroid nodules mean?

Depends: Thyroid nodules are very common in the population, especially in women. Most are benign. Biopsy is indicated if they are larger than 1 cm in size and mostly solid. Thyroid function should also be assessed. ...Read more

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Multiple thyroid nodules. Biobsy result 'sample bloody'. Wat does that mean? Should it be repeated?

Depends on size: If you have multiple small nodules less than 1 cm, it is often difficult to get adequate specimen, and it is more than likely that the pathologist will see only blood. Depending on the size and nature of your nodules, you may want to have a 6 month follow-up ultrasound or have a repeat if the nodule is large. ...Read more

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What does microcalcification in thyroid nodule mean?

Usually biopsy: Fine microcalfications in a solid nodule can be seen in certain thyroid cancers (papillary most commonly). Ultrasound guided fine needle biopsy is often performed in this setting. ...Read more

Dr. Sandra Eleczko
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


Dr. Eric Whitman
343 Doctors shared insights

Thyroid Nodules (Definition)

Masses in the thyroid that vary in size and should be ...Read more