Ultrasound Report

[dcarcano]

Hello Dr. Lupo,

Just trying to better understand my ultrasound report.  My doctor didn't really explain it and he set up an appointment with an endocrinologist a month from now.  I am worried because it has become difficult to swallow and the back of my tongue and throat feel very raw.  
The report reads:  the right lobe was measured at 4.6 cm and the left at 4.1 cm. It shows a heterogeneous parenchyma.  A 3.6 x2.8 cm solid mass is seen in the right lobe, containing a small cyst.  A second 7mm solid nodule and a 9mm simple cyst are also seen in the right side.  A 9mm solid nodule is present in the left lobe.  Findings compatible with multinodular goiter.

Biopsy recommended.  

Should I push for an appointment at an earlier date?  Should I be worried.
Thank you,
Diana

[dcarcano]

The doctore says all of my blood work is normal.  My neck is swollen and the lump is getting harder to the touch.

I guess I am just a little worried.  I had an MRI done about three weeks ago and there was no sign of a mass.

Thanks I will post on the exert forum.

[898]

The echotexture of the thyroid indicates long term inflammatory process; have you ever been tested for TPO antibodies; are your hormone levels normal?
P.S you must post this question on expert's forum to get answer from Dr. Mark Lupo

[898]

The 3.6 x2.8 cm solid mass is seen in the right lobe, containing a small cyst should undergo biopsy under ultrasound guiding. The report has no information about possible blood flow in this nodule which is important. this nodule in particular can indicate beginning of cystic degeneration [solid nodule turning into complex cyst]