Aa
confused about thyroid us
amorphous gland heterogeneous appearance
findings diffuse heterogeneous appearance is seen of the left and right thyroid lobe measuring 4.9x1.6x2 cm on the right and 4.5x1.4x2.1cm on the left. no discrete thyroid mass is seen. there is a hypo echoic nodule at the lower pole of the left thyroid measuring approximately 10x9x6mm and is stable. it represent small parathyroid or ectopic thyroid tissue. benign lymph node in the right neck is noted. these findings are stable
findings diffuse heterogeneous appearance is seen of the left and right thyroid lobe measuring 4.9x1.6x2 cm on the right and 4.5x1.4x2.1cm on the left. no discrete thyroid mass is seen. there is a hypo echoic nodule at the lower pole of the left thyroid measuring approximately 10x9x6mm and is stable. it represent small parathyroid or ectopic thyroid tissue. benign lymph node in the right neck is noted. these findings are stable
COMMUNITY LEADER
Could you have the T3 and T4 levels switched? Are those Free T3 and Free T4 or are they Total T3 and Total T4? They aren't the same tests and don't give the same the same information.
We also need the reference ranges for the T3 and T4. Ranges vary lab to lab and have to come from your own report.
TPOab of 395 would be the basis for a diagnosis of Hashimoto's Thyroiditis and would be consistent with Dr Lupo's comments above.
We also need the reference ranges for the T3 and T4. Ranges vary lab to lab and have to come from your own report.
TPOab of 395 would be the basis for a diagnosis of Hashimoto's Thyroiditis and would be consistent with Dr Lupo's comments above.
remember im Armour TSH is always suppressed taking Armour
tsh 5.45
t3 0.9
t4 130
if i remember correctly
tbo 395
tgab norm
tsh 5.45
t3 0.9
t4 130
if i remember correctly
tbo 395
tgab norm
COMMUNITY LEADER
Since I don't know what labs you've had or haven't had, I can't recommend a second opinion, just yet.
Have you had any blood work labs to determine thyroid function or is the ultrasound the only thing you've had done?
If you've had blood work, check your reports for things like TSH, Free T3, Free T4, Total T3, Total T4, T3 uptake, Thyroid Peroxidase Antibodies (TPOab), Thyroglobulin Antibodies (TGab), etc.
If you care to have us help you, we'll be glad to.
Have you had any blood work labs to determine thyroid function or is the ultrasound the only thing you've had done?
If you've had blood work, check your reports for things like TSH, Free T3, Free T4, Total T3, Total T4, T3 uptake, Thyroid Peroxidase Antibodies (TPOab), Thyroglobulin Antibodies (TGab), etc.
If you care to have us help you, we'll be glad to.
i don't know what look for on labs! docs Secretary said it was stable and there wasn't a mention of parathyroid or ectopic thyroid tissue which i have the report should i get a second opinion
COMMUNITY LEADER
If you care to post your lab results and reference ranges, here, we might be able to help you out. While we aren't doctors, we have some pretty knowledgeable people on the forum. We'll be glad to help anyway we can.
COMMUNITY LEADER
I'm not sure it will do any good to continue posting your ultrasound results, here, because it's unlikely Dr Lupo will respond on this thread again. You might want to post on the expert forum.
Dr Lupo indicated Hashimoto's; have you had any antibody testing done that might confirm this?
Hashimoto's leads to hypothyroidism... do you have symptoms of that? Symptoms could include weight gain/inability to lose, constipation, fatigue, muscle/joint aches/pains, dry skin/hair, hair loss, as well as others.
Have you had thyroid hormone levels tested? Those would be Free T3 and Free T4. While TSH is not a thyroid hormone, you should get that tested, as well.
Do you have any indication of parathyroid issues? You might want to get calcium levels tested, as Dr Lupo suggested. Also get PTH levels tested, if you haven't already.
Dr Lupo indicated Hashimoto's; have you had any antibody testing done that might confirm this?
Hashimoto's leads to hypothyroidism... do you have symptoms of that? Symptoms could include weight gain/inability to lose, constipation, fatigue, muscle/joint aches/pains, dry skin/hair, hair loss, as well as others.
Have you had thyroid hormone levels tested? Those would be Free T3 and Free T4. While TSH is not a thyroid hormone, you should get that tested, as well.
Do you have any indication of parathyroid issues? You might want to get calcium levels tested, as Dr Lupo suggested. Also get PTH levels tested, if you haven't already.
here are my others
details of thyroid ultrasound report
the isthmus measures 0.6cm. the right lobe measures 5.0*1.4*2.0cm the left lobe measures 4.8*1.4*1.7 cm the thyroids echo texture is inhomogeneous with scarring with mild vascularity no well defined nods noted lateral to the left lobe there is a lymph node 2.5*0.5*0.7 cm inferior to the lobe a lymph node is seen 1.
5*0.8*0.9 cm this one which doc isn't doing anthing
Real time transverse and sagittal images of the thyroid were obtained.
Findings: The and the right lobe of the thyroid measures 6.5 x 2.1 x 1.8 cm and the left lobe 5.5 x 2.0 x 1.8 cm. No focal thyroid parenchymal lesions. There is generalized hyperemia throughout both lobes of the thyroid on color-flow Doppler. And there are two small hypo echoic nodular collections just caudal to the inferior lower pole of the left thyroid lobe the larger measuring up to 1.5 and 1.4 cm diameters respectively.
IMPRESSION:
Generalized thyroid hyperemia which can be associated with thyroiditis. No discrete thyroid lesions identified.
Two small hypo echoic solid nodules inferior to the lower pole of the left thyroid lobe with differentials including a small cervical lymph nodes. One of these could also reflect a small parathyroid gland.
details of thyroid ultrasound report
the isthmus measures 0.6cm. the right lobe measures 5.0*1.4*2.0cm the left lobe measures 4.8*1.4*1.7 cm the thyroids echo texture is inhomogeneous with scarring with mild vascularity no well defined nods noted lateral to the left lobe there is a lymph node 2.5*0.5*0.7 cm inferior to the lobe a lymph node is seen 1.
5*0.8*0.9 cm 1st one
details of thyroid ultrasound report
the isthmus measures 0.6cm. the right lobe measures 5.0*1.4*2.0cm the left lobe measures 4.8*1.4*1.7 cm the thyroids echo texture is inhomogeneous with scarring with mild vascularity no well defined nods noted lateral to the left lobe there is a lymph node 2.5*0.5*0.7 cm inferior to the lobe a lymph node is seen 1.
5*0.8*0.9 cm this one which doc isn't doing anthing
Real time transverse and sagittal images of the thyroid were obtained.
Findings: The and the right lobe of the thyroid measures 6.5 x 2.1 x 1.8 cm and the left lobe 5.5 x 2.0 x 1.8 cm. No focal thyroid parenchymal lesions. There is generalized hyperemia throughout both lobes of the thyroid on color-flow Doppler. And there are two small hypo echoic nodular collections just caudal to the inferior lower pole of the left thyroid lobe the larger measuring up to 1.5 and 1.4 cm diameters respectively.
IMPRESSION:
Generalized thyroid hyperemia which can be associated with thyroiditis. No discrete thyroid lesions identified.
Two small hypo echoic solid nodules inferior to the lower pole of the left thyroid lobe with differentials including a small cervical lymph nodes. One of these could also reflect a small parathyroid gland.
details of thyroid ultrasound report
the isthmus measures 0.6cm. the right lobe measures 5.0*1.4*2.0cm the left lobe measures 4.8*1.4*1.7 cm the thyroids echo texture is inhomogeneous with scarring with mild vascularity no well defined nods noted lateral to the left lobe there is a lymph node 2.5*0.5*0.7 cm inferior to the lobe a lymph node is seen 1.
5*0.8*0.9 cm 1st one
details of thyroid ultrasound report
the isthmus measures 0.6cm. the right lobe measures 5.0*1.4*2.0cm the left lobe measures 4.8*1.4*1.7 cm the thyroids echo texture is inhomogeneous with scarring with mild vascularity no well defined nods noted lateral to the left lobe there is a lymph node 2.5*0.5*0.7 cm inferior to the lobe a lymph node is seen 1.
5*0.8*0.9 cm 1st one
the isthmus measures 0.6cm. the right lobe measures 5.0*1.4*2.0cm the left lobe measures 4.8*1.4*1.7 cm the thyroids echo texture is inhomogeneous with scarring with mild vascularity no well defined nods noted lateral to the left lobe there is a lymph node 2.5*0.5*0.7 cm inferior to the lobe a lymph node is seen 1.
5*0.8*0.9 cm 1st one
details of thyroid ultrasound report
the isthmus measures 0.6cm. the right lobe measures 5.0*1.4*2.0cm the left lobe measures 4.8*1.4*1.7 cm the thyroids echo texture is inhomogeneous with scarring with mild vascularity no well defined nods noted lateral to the left lobe there is a lymph node 2.5*0.5*0.7 cm inferior to the lobe a lymph node is seen 1.
5*0.8*0.9 cm this one which doc isn't doing anthing
Real time transverse and sagittal images of the thyroid were obtained.
Findings: The and the right lobe of the thyroid measures 6.5 x 2.1 x 1.8 cm and the left lobe 5.5 x 2.0 x 1.8 cm. No focal thyroid parenchymal lesions. There is generalized hyperemia throughout both lobes of the thyroid on color-flow Doppler. And there are two small hypo echoic nodular collections just caudal to the inferior lower pole of the left thyroid lobe the larger measuring up to 1.5 and 1.4 cm diameters respectively.
IMPRESSION:
Generalized thyroid hyperemia which can be associated with thyroiditis. No discrete thyroid lesions identified.
Two small hypo echoic solid nodules inferior to the lower pole of the left thyroid lobe with differentials including a small cervical lymph nodes. One of these could also reflect a small parathyroid gland.
the isthmus measures 0.6cm. the right lobe measures 5.0*1.4*2.0cm the left lobe measures 4.8*1.4*1.7 cm the thyroids echo texture is inhomogeneous with scarring with mild vascularity no well defined nods noted lateral to the left lobe there is a lymph node 2.5*0.5*0.7 cm inferior to the lobe a lymph node is seen 1.
5*0.8*0.9 cm this one which doc isn't doing anthing
Real time transverse and sagittal images of the thyroid were obtained.
Findings: The and the right lobe of the thyroid measures 6.5 x 2.1 x 1.8 cm and the left lobe 5.5 x 2.0 x 1.8 cm. No focal thyroid parenchymal lesions. There is generalized hyperemia throughout both lobes of the thyroid on color-flow Doppler. And there are two small hypo echoic nodular collections just caudal to the inferior lower pole of the left thyroid lobe the larger measuring up to 1.5 and 1.4 cm diameters respectively.
IMPRESSION:
Generalized thyroid hyperemia which can be associated with thyroiditis. No discrete thyroid lesions identified.
Two small hypo echoic solid nodules inferior to the lower pole of the left thyroid lobe with differentials including a small cervical lymph nodes. One of these could also reflect a small parathyroid gland.
MEDICAL PROFESSIONAL
This sounds like hashimotos with either possible nodule - but more likely lymph node or pseudonodule on the left that is small. If there is a question of parathyroid, then calcium blood test may be appropriate.
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