Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Can somebody explain my ultrasound results for me?
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Can somebody explain my ultrasound results for me?

Can somebody explain my ultrasound results for me? It says as follows: Thyroid is moderately asymmetrically enlarged. Right lobe measures 74mm longx 27x 37mm volume 38mls. Right lobe measures 69mm longx22x 31mm, volume of 24mls. isthmus measures 12mm thick. Gland texture is markedly diffusely coarsened, with hypoechoic clefts and fine nodules. In the midzone and lower pole of the left lobe lie several heterogeneously hypoechoic nodules. These are difficult to accurately measure, but are up to 11mm in diameter. I estimate 3 or 4 in total. No further definite mass. Thyroid is diffusely hypervascular. Overall appearances favour thyroiditis with back groung nodules midzone lower pole left lobe-most likely benign.
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Yes - this is a classic thyroiditis description with a goiter approximately 3-4x normal.  Would correlate with TSH, FT4 and thyroid antibodies.  This may be Hashimoto's thyroiditis.  The nodules can likely be followed w/o FNA biopsy, but repeat ultrasound in 6 months is reasonable.
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Thyroid & Endocrine Center of Florida
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