Hyperemic means it has increased blood flow; hypoechoic means that its tissue reflects less waves than neighboring tissue.
I would recommend trying to get shear wave ultrasound which will make better justification if biopsy is needed
Thanks for the reply! I was browsing through the information I got back from the hospital and it seems that there is two different reports? Radiologists report states what I pasted above, then I have another report that states the complete opposite?
Heterogenous, well circumscribed markedly hyperemic lesion upper pole left thyroid. Remainder of thyroid appears WNL.
As fas as I knew, hyperemic and hypoechoic are two different things. Would it be recommended to have another ultrasound done to make sure, or continue on with the FNA? My Dr. is adamant on getting it done, but it won't be until the 28th.
Right lobe measures 4.2 x 1.7 x
1.8 cm
The volume is approx 6.2 ml
The left lobe measures 4.6 x 1.5 x 1.8 cm
The volume is approx 6.0 ml
Total volume is 12.2 which is larger than average 7.3 ml, but still less than 18 ml (upper limit per WHO)
isthmus measures 3.4 mm.(common 2.3)
In the left lobe
There is a slightly hypoechoic nodular structure of 1.8 x 0.8 x 1.5 cm.
This shows increased vascularity. There are no abnormal calcifications.
I would recommend looking on it under high resolution's shear wave ultrasound because his feature may be so-called pseudo nodule, before sticking needle into it.
There is no information of borders surrounding such nodule so it is hard to say if it is adenoma or something else.
It is indirectly stated in the report that lymph nodes are appear normal which is good.
The nuclear scan will not provide additional information unless your TSH is low and you are not taking Metformin.