Ultrasound results

[kdblack]

So here are the results of my recent thyroid ultrasound. I should also mention I was just recently diagnosed with Hashimotos and on no meds as of yet for it.

Right lobe:  Measures at 6.44 x 2.93 x 3.78 cm Right lobe is heterogeneous in nature and multinodular in character. There is a large isoechoic nodule on the right lower pole measuring 1.74 x 1.35 x 1.74 cm.

Isthmus measures .85cm

Left lobe: measures 5.23 x 2.14 x 2.25 cm The left  lobe is heterogeneous in nature and multinodular in character.  There is an isoechoic nodule on the left lower pole measuring 1.07 x .67 x .9 cm

I am waiting for the hospital to call to schedule an ultrasound guided FNA of both nodules. Any help deciphering?

[kdblack]

They are going to biopsy both nodules because they are over 1cm and I have family history. What does the isthmus being too thick mean? I am female do you know what the typical volume is for female?  There was some lymph nodes in my neck that were enlarged but they did not check them during ultrasound, my adenoids are also enlarged which I understand is lymphatic tissue, does that increase malignancy chances?  Thanks so much for responding.

[898_1]

For female is 7 to 7.5 ml, maximum 18 ml; abnormal lymph nodes at lower neck without apparent cause increases malignancy chance but not by high margin. Yours are probably enlarged for a different reason. Too thick means it is enlarged (swollen) as well:)

[898_1]

Typically the ISOechoic nodules have low risk for malignancy, so at the worse case only the 1.74 nodule should undergo biopsy. If no abnormality is found in lymph nodes the risk of malignancy is very low.
Both lobes demonstrate uneven texture due to the past or present inflammation.
Isthmus measures .85cm (typically .23) too thick
Right lobe volume is 35 ml
Left lobe volume is 12 ml,
total volume is 47ml (per Brunn, et al) which corresponds to moderate to significant size goiter (III grade on old scale)
the typical volume for male is 8.5 ml with upper limit of 22 ml (WHO,2003)
the size can decrease after acute phase or after excluding  inflammatory triggers form the diet