Without reference ranges for the
t4T4 test and
t3 levels, it is tough -- but these levels appear high and the
TSHPituitary and tsh
Tsh low -- so this is HYPERthryoidism.
Further evaluation might include an I-123 uptake & scan, an ultrasound with color doppler blood flow and/or thyroid antibodies including TSH-Receptor Ab level as well as ESR. These tests sort out the cause of the hyperthyroidism and then the treatment options can be discussed.
If I only had one test I could do, probably the I-123 uptake and scan would give the most info....
for more info on hyperthyroidism, go to aace.com and check-out the patient resources.