During a check for flu, the NP said, "Did you know your thyroid is enlarged?" I'd felt a funny bump with some itching on the skin a few months ago but had recently lost a lot of weight (planned) and wasn't convinced the bump wasn't a tendon I hadn't been able to feel before. I also have a bit of a lump feeling at the base of my throat, but thought that might be a bit of reflux. Apparently not. My TSH and FT4 were within normal range, FT3 was .1 below normal range. Ultrasound report says: "The largest nodule on the right measures 1.6cm and is mixed solid and cystic. There is peripheral blood flow with no distinct central blood flor or associated calcification. No other distinct nodules are seen on the right. On the left, there is a 2.1cm dominant mixed cystic and solid nodule with mostly peripheral blood flow in the mid pole. A smaller 9mm mixed solid and cystic nodule is also present in the upper pole with minimal central and peripheral blood flow. There are multiple bilateral sall lymph nodes within the neck. Impression: Bilateral mixed cystic and solid nodules. The right nodule measures 2.8cm and the largest on the left measures 2.2cm in maximum diameter."
The NP suggested I see an endocrinologist. My PCP doesn't seem to think I need to see one as my blood values are normal (.1 below doesn't warrant concern, he says) and he hasn't yet responded to my voicemail question about the ultrasound results.
Does this warrant further investigation at this point?
The blood levels and nodules usually are evaluated independently. The labs are normal, but that does not mean the nodules are benign (90% of nodules are benign, but this needs to be confirmed). So yes - see an endocrinologist - preferably one who does his/her own ultrasound and FNA in the office.
I have a bunch of symptoms that could reasonably be attributed to any number of other things, but hey also happen to be on the list of typical hypothyroid symptoms...except that my TSH isn't elevated at all. Looking forward to hopefully getting some answers at my appt.
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.