Can you help me understand my FNA report?

[LADYBUG1979]

I noticed a lump on one side of my thyroid in March.  I have had an ultrasound that showed 1 single nodule about 1 cm in size.  I also had an FNA done.  Here is what my report states:
"Impression:  Moderatley cellular specimen with groups of follicular cells with focal microfollicle formation and focal Hurthle cell change background of scant colloid.  SEE COMMENT:  The specimen shows groups of follicular cells with focal microfollicle formation.  The follicular cells have predominantly round nuclei with focal Hurthle cell change and rare grooves.  No cytologic features of papillary carcinoma are seen.  In the background there is a scant amount of colloid.  Overall, the features are consistent with follicular lesion (hyperplastic versus neoplastic)."
Ok, so that's the report.  My ENT told me that my report was "abnormal".  I have my Uptake and Scan next week.  The only feedback I am given is that with each test the docs "suspicion" is increased.  Any feedback would be appreciated.  I feel a little lost and not sure what I should prepare myself for.  I am a 30 year old female with hypertension and have also been on Synthoid for 2 months for a diagnois of under active thyroid but are not on the meds now because of the uptake scan.  I noticed the nodule myself, I have horseness and feel like I have something stuck in my throat.  I also have a little discomfort.  Thank you.  

[898]

I believe, the FNA samples are photographed under the microscope, and then the color slides are compared with “sample pictures” in so called “cytology gallery collection”. When two images are matching diagnose is made. So if the lab that  viewed your samples, took the images of them, these could be sent out for second opinion. {In the past they have to preserve the sample and send them out.

[LADYBUG1979]

Thank you for your response.  My ENT wants to check for cold nodules.  That's why the RAI scan.  But I was confused by that.  How do I get a cytopathologist to look at the sample?  Sorry if that's an ignorant question =) ?  I don't feel like I am getting any answers from my doc other than each thest increases the suspicion??  Thanks again.  Glad I found this forum.  

[898]

Microfollicle formation and focal Hurthle cell change background of scant colloid are the feautures of follicular neoplasm; therefore it can be good idea of the xperienced cytopathologist to look on the sample. RAI scan is not really necessary unless you are hyperthyroid

[LADYBUG1979]

Thank you for your comments. I hope you are feeling well.  I am trying to research.  But having a hard time dissecting the biopsy report.  So, I am not sure if abnormal means maybe something is wrong.  

[MANmom]

I would have the half of your thyroid with the nodule removed.  My FNA did not show anything like that, just so-called BENIGN follicular clusters, but I have several nodules, three on the right, one on the left.  I had a lobectomy two weeks ago to take out the right side, turns out I do have papillary cancer, so the other side is going to come out too.  But after the first surgery, my thyroid functioned perfectly well, I felt great, but there is still a nodule in there.  If there wasn't a nodule left in the other side, I probably would watch and wait, but since there is already action on that side, we are going to do the full thyroidectomy.  If you have a lobectomy and do a thorough report on the nodule at least you will know for sure what it is, and if you get lucky, the other half will function just fine.  Do some research, get more opinions, and good luck!