what does it mean to have a distinct hypoechoic solid mass on thyroid

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Dr. David Sneid answered:

Thyroid Us reveals small hypoechoic adenomas two, septated cyst left lobe and 11x10x4 mm solid hypoechoic mass anterior to jugular, concerning?

The small cysts

Cyst
are probably of no significance, but thyroid biopsy should be considered for the larger mass. Check a serum thyroglobulin level and discuss w/your doctor.
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Dr. Edward Timmins answered:

Had Thyroid US. I felt a constant lump in throat.Have "complex hypoechoic nodule(solid mass) 3.9x1.5x1.1cm (L) & 4.5x1.5x1.4cm (R)." Can it be cancer?

Possible

Open-uri20130816-28464-gg3gte
Nodules that size although most often not cancer need to be evaluated further. Bilateral or multiple nodules are more likely to be benign. Next step should be fine needle biopsies (FNA). This is just what it sounds like- a small needle placed into the nodule to obtain some cells for pathology. If benign, can leave alone. But if having symptoms simply from size of nodule might still need surgery.
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What does it mean when a thyroid has a solid complex and solid mass? i was told I had small nodules on the left side of my thryoid. On the right side, there is a large complex mass and liquid nodule. What does mean?

Likely benign

Antithyroid_medication
Thyroid lesions are classified as solid or cystic or a combination of both. If its over 1 cm in size, it should have a needle biopsy with ultrasound guidance.
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Dr. Alan Feldman answered:

I had a sonogram of my thyroid. I have 9 nodules/cyst. 2 solid hypoechoic heterogeneous nodules. What does this mean? Cancer?

Common problem

Nodule
Nodules of the thyroid are common, especially in women. Most thyroid nodules are benign. "Solid", "hypoechoic", "heterogeneous" nodules are the most common ones seen. If they are large enough (at least 1 cm), we typically recommend doing a fine needle biopsy to make sure they are benign.
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What does Predominantly SOlid isoechoic mass with sites of cyst and increased vascularity measuring 5.5 X4.5X3.6 in thyroid mean?

Thyroid scan needed

Toxic_thyroid_adenoma
Further information is needed. How long have you had this? Tender? Weight loss? Cough? Voice change? Heat or cold intolerance? History of thyroid disease? PMSFx? Still needs thyroid scan with option for immediate biopsy.
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Dr. Harry G. Zegel answered:

I've complex hypoechoic well defined mass in thyroid. What does this mean? Other symptoms heavy night sweats, mid cycle bleeding, hair loss, blemishes

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Fine_needle_aspiration
There are many US criteria to characterize a thyroid mass including size, shape, margin, halo, calcifications, echotexture, and vascularity. Your US may show a benign colloid nodule, but your Dr. needs to see the report /discuss with the radiologist, and exam you to see if your symptoms are thyroid related, and consider thyroid function studies.
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Dr. David Sneid answered:

I have a hypoechoic thyroid on my left, measuring 0.413 x 0.546cm.The left thyroid is markedly reduce un size without mass. What does this mean?Worrie

Your nodule

Thyroid_gland
is fairly small, and many physicians wouldn't even biopsy it unless it enlarged or there were other factors noted on ultrasound or lab. If your blood levels are normal, don't worry about the left lobe. Check w/your doctor.
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Dr. David Geffner answered:

3mm solid hypoechoic nodule,and mildly enlarge thyroid,what next step?

Observe

Nodule
As I mentioned you should see a thyroidologist to determine if the nodule appears benign. If so perhaps a repeat ultrasound as well as thyroid blood tests to determine why the gland is enlarged.
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Dr. David Sneid answered:

What is the treatment for hypoechoic solid nodule in the thyroid gland?

Make sure

Nodule
your thyroid function is tested and treated if abnormal. Have someone review the ultrasound; unless it is very tiny, you probably need a needle biopsy. Make sure a serum thyroglobulin has been drawn as a potential tumor marker, Thyroid cancer is not common, but it is always better to err on the side of safety.
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Dr. David Geffner answered:

I have a 3mm hypoechoic solid nodule, with an midly enlarge thyroid, should I worried about that?

Probably not.

Nodule
See a thyroidologist. Nodules less than 10mm without worrisome features are very common in 44 y.o. women.
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