ultrasound report

"Gland is mildly enlarged measuring 4.4 cm x 1.5 cm x 1.5 cm on the right and 4.5 cm x 1.7 cm x 1.6 cm on the left.  No nodules are seen on the right although gland is markedly inhomogeneous in appearance.  In the left lobe there is a 1.5 cm solid nodule which is well circumscribed containing a thin septation."

I've been scheduled for  nuclear medicine iodine scan.

I find I'm very scattered and forgetful.  It would be helpful to know what to ask/tell my doctor as she is not familiar with me as I've moved so I could prepare a list.

Unfortunately I found it necessary to stress my history of high academic achievement and athletic competitiveness before she moved beyond the 'depression' diagnosis and found the thyroid issue.  Oops, sorry a rant escaped.

Thanks for all your help.

[898]

If you are an adult, the size of your  thyroid is within NORMAL limits.[per ultrasound guidelines]
heterogeneous structure is sign of the inflammation. [thyroiditis]
Have TPO antibodies checked [to rule out autoimmune thyroiditis]
the solid nodule of 1.5 cm may require biopsy testing.

[898]

Thin internal septations are commonly found in the fluid-filled nodules; the strange thing is how this feature can be seen in the solid nodule??

[cga18969]

hmm, super human powers?

[cga18969]

I had my uptake and scan today, they showed me 4 perfectly uniform pictures of yellow butterflies.  I suspect this is good news, however it doesn't seem to correspond to the Ultrasound findings.  Could this be because I'm 4 weeks off synthroid, better off without it??? 8 years of taking it, maybe I'm cured?  Inquiry minds want to know!...lol, I'm so impatient with this ignorance of mine.
Do you think they will skip the biopsy? Should I push for the antibody test?
Thanks for your time and help, it's very much appreciated

[898]

Uniform uptake is suggesting that the nodule is 'warm' which means it could be possible overgrowth of normal thyroid tissue or it can be thin [lens shape vs ball shape]. this may be true especially if nodule is not palpable, but found on the ultrasound [also called pseudonodule].
it can be good idea to repeat the ultrasound using high resolution machine.

[cga18969]

Phone message from doc said test was normal, but given the size of nodule 1.5cm I was to follow up with an endo and they gave me a number.   Cool eh?  I called back and left a message asking what I should do about the meds I had to stop.
Pseudo is good right??
Thanks

[898]

Pseudo nodule is 'focal area of inflammation' which may disappear later.

[cga18969]

convinced doc to check antibodies.. peroxidase was 818, thyroglobulin is still pending.
After stopping 137 synthroid for 4 weeks and then back on for 1 week, TSH was 33.48 t4 .9

Silly they even tested it with the change in meds.... I want to refuse to pay for it.. tee hee

I was told scan didn't show anything.... I said I thought it might have read "warm" and then she agreed it was was 'indeterminate' which I think is different from not showing anything.. sigh.  
Looks like you're right on the money so far....  Merci Boucoup

On a side note my triglicerides (triglycerides) where 176 chol 278 hdl 44 ldl 199 (all out of spec)
doc suggesed throid issue was cause of these irregularies. what do you thing??

[cga18969]

Think not thing...
I don't want to pry...  :o)