Aa
What is my problem?
I was diagnosed with hyper over 10 years ago! Been taking the metamazol on and off and then I stopped taking it last year.After 1 year of being out of the medication,took an exam…
Result
Total T3 86, range (87-178)
T3 free 2.8, (range 1.71-3.71)
thyroxine (t4 total) 8.9, range 4.82 to 11.72
TSH 0.56 (range 0.34-5.6) ....14 days before my TSH 0.09 it got better in 14 days! (did the exam again)
T4 free 0 .7 (range 0.61-1.12)
Thyroid -stimulating immune 81 (range 0-129)
Thyroid antibodies 1043 (normal range 0 to 40)
Anti- thyroid peroxidase 695 (range max 35)
Dr said I have Hashimoto. Dr. did not say anything about the thyroid antibodies.
Ultrasound result- there are multifocal nodular lesions. There is diffuse increased hypervascularity throughout the thyroid and correlations for mutinodular goiter versus hyperthyroidism and thyroiditis is recommended by correlation with laboratory values as well as nuclear medicine uptake scan. Right lobe measures with the largest lesion in the mid lobe measuring up to 9mm, the left lobe with the largest nodule measuring up to 1.1cm. Scattered perithyroidal lymph nodes identified, without evidence of enlargement of frak adenopathy. The isthmus is thickened up to 8mm...
( in 2001 my ultrasound says, no discrete cystic or solid lesion is seen, the echotexture is similar bilaterally with small diffuse hypo echoic areas intermixed with variable increased echogenicity. There is borderline thickening of the isthmus, measures 7mm)
Dr. said, the nodular is small so to keep an eye on it. No biopsy! No medicine.
What shall I do?
Help…thanks
Result
Total T3 86, range (87-178)
T3 free 2.8, (range 1.71-3.71)
thyroxine (t4 total) 8.9, range 4.82 to 11.72
TSH 0.56 (range 0.34-5.6) ....14 days before my TSH 0.09 it got better in 14 days! (did the exam again)
T4 free 0 .7 (range 0.61-1.12)
Thyroid -stimulating immune 81 (range 0-129)
Thyroid antibodies 1043 (normal range 0 to 40)
Anti- thyroid peroxidase 695 (range max 35)
Dr said I have Hashimoto. Dr. did not say anything about the thyroid antibodies.
Ultrasound result- there are multifocal nodular lesions. There is diffuse increased hypervascularity throughout the thyroid and correlations for mutinodular goiter versus hyperthyroidism and thyroiditis is recommended by correlation with laboratory values as well as nuclear medicine uptake scan. Right lobe measures with the largest lesion in the mid lobe measuring up to 9mm, the left lobe with the largest nodule measuring up to 1.1cm. Scattered perithyroidal lymph nodes identified, without evidence of enlargement of frak adenopathy. The isthmus is thickened up to 8mm...
( in 2001 my ultrasound says, no discrete cystic or solid lesion is seen, the echotexture is similar bilaterally with small diffuse hypo echoic areas intermixed with variable increased echogenicity. There is borderline thickening of the isthmus, measures 7mm)
Dr. said, the nodular is small so to keep an eye on it. No biopsy! No medicine.
What shall I do?
Help…thanks
MEDICAL PROFESSIONAL
Sounds like autoimmune thyroid disease initially presenting w/ Graves hyperthyroidism and now may be "burning" out to more of a Hashimoto's picture. The TSH is still fluctuating, so it is possible that you may develop hyperthyroidism again. At this point would not recommend medications b/c the levels are not consistent - would monitor.
The ultrasounds in 2001 and current are both typical for autoimmune thyroiditis (inflammation) w/ small "nodular" areas that are more often than not just areas of more intense inflammation. The thickened isthmus is common in this setting as are the surrounding slightly prominent lymph nodes. The key is careful evaluation of the nodules, to make sure there are not suspicious features on ultrasound that would warrant FNA biopsy.
The ultrasounds in 2001 and current are both typical for autoimmune thyroiditis (inflammation) w/ small "nodular" areas that are more often than not just areas of more intense inflammation. The thickened isthmus is common in this setting as are the surrounding slightly prominent lymph nodes. The key is careful evaluation of the nodules, to make sure there are not suspicious features on ultrasound that would warrant FNA biopsy.
Thank you so much for your quick response.
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