Aa
level 3 lymph nodes
hi.
history: age 33, female, dx with thyroidittis at age 29. took synthroid for several years. i've been off of synthroid for 6-8 months now and have great thyroid function so far.
issue: i've been getting yearly thyroid ultrasounds since about 2008ish. every time i have multiple bilateral large lymph nodes present. every year endo wants me to see ent to get the nodes evaluated. ent did ct a couple of years ago and it came back okay. ent has pretty much told me that ultrasound is unreliable for lymph node size and such and that i shouldn't worry unless the ultrasound comes back at > 4cm.
however, i just got back fom endo and she seemed to really want me to get another follow-up from ent again because of the size and number of lymph nodes. the last ultrasound showed...
right lobe: 4.6 x 2.1 x 1.4cm
left lobe: 4 x 1.1 x 1.4cm
isthmus: .5cm
Subcentimeter cysts are present on the right. Echotexture is heterogeneous.
Cervical lymph nodes are again noted bilaterally. The largest is on the left at level 3 and measures 2.2 x .7 x .9cm. This node was not seen with certainty on prior study. Remainder of exam is stable since last ultrasound.
what should i do? should i go to ent and ask for what??? ct with contrast? what's the best test to examine neck lymph nodes?
Thanks. Happy Thanksgiving.
history: age 33, female, dx with thyroidittis at age 29. took synthroid for several years. i've been off of synthroid for 6-8 months now and have great thyroid function so far.
issue: i've been getting yearly thyroid ultrasounds since about 2008ish. every time i have multiple bilateral large lymph nodes present. every year endo wants me to see ent to get the nodes evaluated. ent did ct a couple of years ago and it came back okay. ent has pretty much told me that ultrasound is unreliable for lymph node size and such and that i shouldn't worry unless the ultrasound comes back at > 4cm.
however, i just got back fom endo and she seemed to really want me to get another follow-up from ent again because of the size and number of lymph nodes. the last ultrasound showed...
right lobe: 4.6 x 2.1 x 1.4cm
left lobe: 4 x 1.1 x 1.4cm
isthmus: .5cm
Subcentimeter cysts are present on the right. Echotexture is heterogeneous.
Cervical lymph nodes are again noted bilaterally. The largest is on the left at level 3 and measures 2.2 x .7 x .9cm. This node was not seen with certainty on prior study. Remainder of exam is stable since last ultrasound.
what should i do? should i go to ent and ask for what??? ct with contrast? what's the best test to examine neck lymph nodes?
Thanks. Happy Thanksgiving.
MEDICAL PROFESSIONAL
The history and dimensions of this node favor a benign process.
I would need to see the actual ultrasound image to further evaluate.
many endocrinologists can easily FNA biopsy this node if concerned.
ENTs can do this as well -- best to see an ENT who uses in-office ultrasound to evaluate the node. CT scanning is not as good as ultrasound in many cases.
I would need to see the actual ultrasound image to further evaluate.
many endocrinologists can easily FNA biopsy this node if concerned.
ENTs can do this as well -- best to see an ENT who uses in-office ultrasound to evaluate the node. CT scanning is not as good as ultrasound in many cases.
Should i see a different ent?
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