hi, below is my u/sound reading. i was on antithyroid meds for overactive readings from Oct 2011, but reacted to them so not on any at all now but no symptoms except weight gain!!? thought i should lose it not put it on? Also readings seem to be coming down anyway without meds? - Family history includes-My uncle died of thyroid cancer, my dad is under active and my aunt n cousins have had thyroids removed. Waiting to see an endo next week. Just wonder if you might have any idea what he'll suggest? i can't tolerate meds and not to excited about the prospect of rai either?!
Free T4 27.8
FREE T4 23.0
FREE T3 4.6
FREE T4 12.5
FREE T 3 4.0
US March 2012:
Mildly heterogeneous echo pattern of the thyroid. Right lobe minor enlarged. Multiple echogenic nodules with hypoechoic borders are present in the right thyroid lobe the larger measuring 1.23 x 1.4cm. Vague ring calcification of one of the nodules. No increased Doppler vascularity. No nodules identified in left thyroid.
Multinodular right thyroid lobe with an appearance of adenomas,
FNA of the larger nodule suggested.
Would appreciate any insight into above. Thank you
It may be worthwhile having an I-123 nuclear scan to determine if the nodules are hot or cold. If there is a cold nodule been biopsy would be indicated to rule out cancer. If this is a toxic nodular thyroid then treatment is typically surgery or radioactive iodine. Also would screen for Graves' disease with a TSI if not already done.. If this is Graves' disease then typically we start with anti-thyroid drugs but in situations where there is a reaction, surgery or radio active iodine as a backup. At this point you have only mild elevation in T4 and T3, therefore getting additional information and possible econd opinion may be worthwhile before proceeding with definitive therapy.
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