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Moderately hypervascular thyroid u/s
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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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Moderately hypervascular thyroid u/s

I'm waiting to get in to see and endocrinologist in march.  Just had my thyoid ultrasound.  
**Right thyroid measures 16x18x47 mm.  Mildly inhomogenous echo texture.  Moderately hypervascular.  Left measures 17x18x48 mm. mildly heterogenous echogenicity.  Subcenter cyst posterior mid pole.  Color doppler moderately hypervascular.
The Imp on the report reads: no discrete solid masses.  Mildly heterogenous echogenicity. Bilateral mild to moderate hypervasularity.  Correlate clinically.

My Labs results are:  TSH low at <0.2 and Free T4 came back high at 5.5

Should I push to get in sooner than 4 weeks from now?  Of note, I am having some difficulty swallowing and can see the swelling on my lower and sides of my neck.  I feel like Im swallowing a lump in my throat all the time and have choked several times while eating and drinking.
97953_tn?1193367871
Sounds like thyroiditis or Graves disease.  Would not worry about the cyst - this may be an area of inflammation and not a cyst.  Followup ultrasound in 6-12 months is reasonable to confirm. You could ask your primary doctor about an I-123 uptake or a blood test for TSI (and T3) to further the workup and make the diagnosis more clear in order to start treatment or triage for the endocrinologist.
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97953_tn?1193367871
Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
Sarasota, FL
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