Need additional help

My ultrasound results were:The thyroid is diffusely heterogeneous in echotexture with the right thyroid lobe measuring 4.4 cm in length x 1.5 cm AP x 1.3 cm in width and the left thyroid lobe measuring 4.6 x 1.5 x 1.6 cm respectively.  No focalFocal neurological deficits lesions are identified.  The isthmus is mildly thickened and measures 3 mm AP.  The thyroid gland is mildly hyperemic.

Tsh was .38 then three weeks later it was 4.45.  (Normals .34-4.82)  This is all while on levothyroxine.  Thyroperoxidase Ab was 33(H)  (Normals showed 0-20)
I have about every problem you can get from a thyroid but no doctor will do anything else, just the 50 mcg levo.  Any help PLEASE

[Mark Lupo, M.D.]

This is Hashimoto's with typical ultrasound changes.  Would adjust the levothyroxine to keep TSH in the 0.5-2.5 range.