Hi. Please forgive how basic my questions are, I am new to this. I had a thyroid ultrsound last week. After the technician finished she went out and returned with a doctor who took additional images, said my thyroid was "very heterogeneous" and that I had a few small nodules. Does this mean I have Hashi's? I haven't heard the final report yet and was curious. In between my TSH test (slightly elevated) and my ultrasound the Hashi's anitbody test came back and I basically didn't have any ( a fraction was the result).
Is it common to have this ultrasound result and not have antibodies? Could something else be affecting the tissue and not Hashi's?
Thank you very much, this is my last question for at least six months.
Heterogeneity is typical of thyroiditis and Hashimotos (chronic lymphocytic thyroiditis) is the most common type. About 10-15% of patients with Hashimoto's have 'normal' antibodies. So, with a slightly high TSH and a heterogeneous gland on US, this most likely is Hashi.
The other possibility is a recovery from a subacute (painful) or silent (painless) thyroiditis. In these situations, rechecking TSH in 5-6 weeks should determine if the thyroid medication is needed -- ie, in transient thyroiditis, the TSH should normalize (0.3-3.0) and in Hashi, it may typically remain elevated.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.