hi. haven't posted in awhile...32, female, dx supposedly silent thyroiditis in april 2008 (presented hyper, then went extremely hypo....112 to 88 to 50 mcg synthroid). i have one nodule, 4x1x3mm right of isthmus. my thyroid is still heterogenous. left lobe normal in size at 4.2x1.4x1.1cm, right side slightly enlarged at 5.2x2x1.4cm. i still have a lot of bilateral enlarged lymph nodes...largest in size is 2.3x.4x.8cm in upper neck adjacent to the jug vein. another above the sternoclavicular junction at 1.5x.7x.6cm. another adjacent to mandibular angle at 1.4x.4x.8cm. another at 1.5x.6x.7cm.
tsh is .844
ft4 is 1.41
questions:
should i be on less synthroid?
could being on too much synthroid cause enlarged nodes, heterogenous thyroid, etc?
should i get yearly ct scans with contrast to evaluate the lymph nodes?
why is one lobe enlarged? and it's the side with the nodule...could this be a sign of cancer? or is this just autoimmune thyroid disease?
when will the thyroid be homogenous? ever? does it even matter or mean anything?
thanks,
maria