Thyroid Ultrasound Results

[DianaLozano]

Hello,

I am wondering if you can help me figure out what these results mean.

Thyroid Ultrasound:                                                  
                                                                    
                                                                    
RIGHT THYROID LOBE:  The right lobe measures L: 3.2 x  W: 1.2 x  H:  
1.5 cm.  The right lobe appears heterogeneous.                        
                                                                    
LEFT THYROID LOBE:  The left lobe measures L: 3.8 x  W: 1.3 x  H:  
1.8 cm.  The left lobe appears heterogeneous.                        
                                                                    
ISTHMUS:  The isthmus measures 8 mm.  A single hypoechoic nodule is
visualized in the isthmus, measuring 1.1 x .7 x .8 cm.                
                                                                    
IMPRESSION:                                                                    
8 mm solid nodule in the isthmus.                                    
                                                                    
Heterogenous thyroid gland.


I'm assuming it might mean Hashimoto's disease. My doctor said that I should see an Endocrinologist to discuss what to do next. Should I be worried that it was a solid nodule that was found? Also I know my Thyroid is swollen especially on the left side. Will this go down eventually with just the medication? My last TSH level was 5.90 with a normal T4-FREE. My doctor just upped my rx to .75mcg of Levothroid.

Thank you for all your help
Diana

[DianaLozano]

Thank you so much. I am seeing an endocrinologist on Monday. I am hoping that they do decide to go with the FNA Biopsy. Just in case :) Thanks again.

Diana.

[Mark Lupo, M.D.]

Yes - most likely hashimoto's with appropriate increase in levothroid w/ TSH of 5.9.
The nodule should be considered for FNA biopsy.  90-95% of these are benign.

The overall size of thyroid is normal.