Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Thyroid Ultrasound Results
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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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Thyroid Ultrasound Results

I had a follow-up Thyroid ultrasound, very disturbing. Increased vascularity noted within the gland. Right lobe measures 6.4cm x1.8cm x1.8cm. Left lobe measures 6.3cm x1.6cm x 1.8cm. The left has slightly increased from the previous exam. The isthmus is 4.3mm thick with a hypervascular nodule in the isthmus measuring 10.7mm x 4.5mm x7.3mm.

On the R, several subcentimeter hypoechoic and heterogenous nodules noted. The largest is in the mid lobe measuring 6.8mm x 5.9mm x 4.7mm with increased vascularity.

On the L, several subcentimeter heterogenous nodules are now noted. (Meaning they weren't there the previous ultrasound)? The largest measures 9.4mm x 4.7mm x 5.7mm.  Increased vascularity is present.

Then also noted on the report it says; prominent lymph nodes are noted along the jugular chain and submandibular region, the largest measuring 21.2mm x6.2mm on the right and 12.9mm x 5.4mm on the left.

This is the third follow-up ultrasound I have had.  I do not have the others to compare it to; however, I have complained of hoarseness and feeling like something is in my throat and choking.  For the last 5 months I have been hoarse continuously, not off and on anymore.  I went to an ENT who said my vocal chords were swollen, additionally my ears are painful all the time.

This report does not sound good to me, but I would like your opinion so when I go to the doctor on the 10th I have information.  I feel something else needs to be done and not another follow-up ultrasound in another year.
97953_tn?1193367871
The thyroid is slightly enlarged with multiple small nodules - sometimes the technician does not record all nodules if there are multiple small ones - so hard to conclude these are "new" - would correlate with TPO antibody and TSH to see if this may be autoimmune thyroid changes on ultrasound.  This is not likely to cause hoarseness and vocal cord inflammation - that sounds more like acid reflux (even w/o heartburn) or post-nasal drip from sinus congestion (or both).
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Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
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