Sir / Madam,
I am from India.
My friend has recently been diagnosed with thyroid problem. I have attached the medical reports. There are different view points being expressed by her consulting doctors. Some are unsure while others are suggesting surgery. No one is able to give a clear cut picture. My friend is absolutely healthy barring her Hb level which is 2 units below normal. She is non-diabetic and no other complications that are generally associated with patients of her age.
Please help, so as to help my friend take a positive decision to further course of action. In case Surgery is not required then what should she be prescribed with? What precautions she needs to take for general well being.
Thanking you
Aru
blood report
(Tests done on Random Access electro chemiluminescence system of Roche USA)
TSH: 1.8 micro IU/ml
T4: 9.6 micro gr/dL
T3: 85 ng/dl
F.T4: 1.16 ng/dl
F.T3: 2.54 P gr/ml
Cytology report
Specimen : FNAC of Thyroid swelling
Microscopic: Smears show follicular epithelial cells,few Hurthle cells and plenty of foamy macrophages against colloid mixed haemorrhagic background.
Impression: Cytological features suggestive of Adenomatous Goitre with cystic change.
Ultrasound neck
Both lobes of thyroid are mildly enlarged.
Right lobe of thyroid measured 37x13x19mm
Left lobe shows a 35x26x23mm multiloculated cystic lesion.
Bilateral neck vessels are normal in their course, calibre and flow velocities.
There is no evidence of any cervical lymphadenopathy seen.
IMPRESSION: Thyromegaly with a large multi cystic nodule in the left lobe s/o nodule with colloid degeneration.
Smaller nodules noted in the right lobe.