the thyroid gland is enlarge w/ gland volume og 25 grams.
the right thyroid lobe measures 5.9x 2.0x1.9 cm while the left thyroid lobe measures 5.6 x 2.2x2.0 cm.
the gland shows heterogeneous echopattern
there is hyperechoic nodule in the inferiour pole of the left thyroid lobe meausring .063x.044x.089 cm.
the isthmus is enlarged measuring .084cm in AP diameter.
The heterogeneous echopattern [grainy structure] in most cases can be sign of inflammation process in entire thyroid gland.
The hyperechoic nodule [reflects MORE] can be either HOT nodule, or a sign of cacification.
Possibele next steps:
RAI uptake to differentiate between thyroiditis[low] or Grave's disease [normal or high]
Tersts for TPO,TG and TSI antibodies to rule out autoimmune condition
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