Need advice on the following results...........what do they mean and what should be done???
10.6mm by 5.5mm by 13mm hypoechoic regular hyper vascular no calcifications
11.9mm by 9.3mm by 12.9mm hypoechoic hypo vascular regular no calcifications
FNA Results were........
Shows numerous sheets and clusters of cytologically bland follicular epithelial cells demonstrating modest anisonucleosis and occasional Hurthle cell change in a background of abundant coloid and small numbers of foamy macrophages.
Hypoechoic hypervascular means there is an increased blood flow in the nodule.
Presence of colloid background with macrophages suggested a possibility of colloid goiter with inflammatory process, while small number of Hurthle cell may point to Hashimoto's thyroiditis (unless the needle skipped the cluster of Hurtle cells).You may want to get another cytologist to take look on the sample.
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