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Abnormal thyroid findings
I hope this is still an active forum. Also my reslts are in Canadian values so I hope you can shed some light on this for me.
I am a 40 year old female. I have recently been feeling physically tired as well as very sleepy and an increased intolerance to cold. I take Altace for my blood pressure, and experience kidney stones with approximately 10-12 within the last 3 years. I have had my gallbladder removed, and had also experienced pancreatitis 2 years ago. My values and results are as follows:
Thyrotropin (Sensitive TSH) 6.67 MIU/L
ANTI- TPO (Anti-thyroid peroxidase antibody) 486 IU/ml
All other levels were with in specified range.
The ultrasound showed measurements of:
Right lobe 4.0 x 1.6 x 1.5cm, Left lobe 4.4 x 1.7 x 1.5cm, the isthmus .2 cm. They found evidence of a dominant nodule in the right lobe measuring 5mm and a dominant nodule measuring 5mm on the left side as well. They are each hyperechoic and of questionable clinical significance. There was no evidence of lymphadenopathy.
My doctor prefers to send me to someone else to look at this but while I am waiting to get in just wanted to know what all of this stuff means. It could be a few months before I get to see someone else and would like some input into this. He was very vague with his answers when it came to what could or would be done. What can I expect to happen when I do see this other doctor?
I am a 40 year old female. I have recently been feeling physically tired as well as very sleepy and an increased intolerance to cold. I take Altace for my blood pressure, and experience kidney stones with approximately 10-12 within the last 3 years. I have had my gallbladder removed, and had also experienced pancreatitis 2 years ago. My values and results are as follows:
Thyrotropin (Sensitive TSH) 6.67 MIU/L
ANTI- TPO (Anti-thyroid peroxidase antibody) 486 IU/ml
All other levels were with in specified range.
The ultrasound showed measurements of:
Right lobe 4.0 x 1.6 x 1.5cm, Left lobe 4.4 x 1.7 x 1.5cm, the isthmus .2 cm. They found evidence of a dominant nodule in the right lobe measuring 5mm and a dominant nodule measuring 5mm on the left side as well. They are each hyperechoic and of questionable clinical significance. There was no evidence of lymphadenopathy.
My doctor prefers to send me to someone else to look at this but while I am waiting to get in just wanted to know what all of this stuff means. It could be a few months before I get to see someone else and would like some input into this. He was very vague with his answers when it came to what could or would be done. What can I expect to happen when I do see this other doctor?
MEDICAL PROFESSIONAL
You have hashimoto's thyroiditis with early/mild hypothyroidism. The ultrasound description suggests the nodules do not need biopsy at this point. If repeat TSH confirms the elvatation, consider levothyroxine treatment.
yes, this is an active forum...oftentimes Dr. Lupo will respond to a large # of postings at the same time .. not always daily. Just thought I'd post so you keep checking back for his response knowing it is a live board.
Cheryl
Cheryl
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