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491352 tn?1258807095

Cold Solid Nodule

I have had a Thyroid Uptake and Scan done and now have a FNA scheduled for next week.  The nodule itself is 2.8cm x 1.8 x 1.5 - cold. What is the likelihood that if the FNA comes back begnign or undetermined that the Dr will want surgery?
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Avatar universal
898
Thanks for details.
The nodule has higher chances to be benign because according to the report:
a) it is NOT hypoechoic:
b) the borders are not ill-defined
The Doppler color flow is present but not INCREASED.
In the multinodular goiter with dominant nodule the nodules are usually benign.
Due to the nodule size you could be offered the surgical removal of the mass.
Helpful - 0
491352 tn?1258807095
Indication: Thyromegaly.
Technique: Two-dimensional linear sonogram of the thyroid gland was performed.
Findings:  Both lobes appear heterogenous in schodenicity.  The right measures 4.6 x 2.4 x 1.2 cm and left lobe measures 5.3 x 2.5 x 1.6 cm in dimension.  the isthmus measures 2mm in thickness.  within the left mid pole there is a 2.8 x 1.8 x 1.5cm solid nodule.  Color Doppler flow is associated with this mass.

Impression:
Multinodular goiter.  Dominant left solid nodule.  Please correlate clinically with thyroid panel and nuclear medicine scan if not already performed.

Nuclear MEdicine Thyroid Scan
Dominant solid left thyroid nodule

...There is an ovoid-shaped, fairly large cold defect within the left lobe.  Remianing portions of the thyroid gland show uniform tracer uptake.  There are no hot nodules.  Uptake values at 6 and 24 hours are 18.6% and28.7% respectively.  These values are high normal.

Impression:  Cold nodule left lobe.  High normal uptake values at 6 and 24 hours.

****
This is all I have at this point.


Helpful - 0
Avatar universal
898
What was the ultrasound description of the nodule?
Helpful - 0
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