Feb 07, 2010
What would you make of this? I am confused after reading some of the many posting. I was just diagnosed with Obstructive Sleep Apnea. I read that the thyroid can contribute to the Obstructive apnea. Well how enlarged my thyroid need to be to be considered a problem.
See below my last two ultrasound and blood test:
US Thyroid March 14, 2009
History: Suspicion for right thyroid nodule.
Sonographic evaluation of the thyroid demonstrates the gland to be enlarged and heterogeneous. The right lobe measures 6.4 x 2.7 x 2.5 cm, the left lobe measures 6.2 x 2.2 x 2.5 cm. The isthmus measures 0.6 cm . There is no cervical lymphadenopathy.
There is a complex nodule within the central right lobe which is echogenic. There is a cystic component centrally. The nodule measures 2.3 x 2.0 x 2.1 cm.. A second nodule in the right lobe medially measures 1.1 x 0.8 x 1.1 cm. There is a nodule at the mid to superior left lobe anteriorly measuring 1.3 x 0.9 x 1.3 cm.. A coarse calcification is seen within the central left lobe. There is a relatively echogenic nodule inferiorly and anteriorly measuring 1.4 x 0.9 x 1.1 cm.. Additional nodule within the left lobe at the mid left lobe measures 1.0 x 0.7 x 0.9cm..
Multinodular goiter. There is a dominant nodule in the right lobe as described.
Repeated the Thyroid Ultrasound on September 12, 2009
Right lobe; measures 5.9 x 2.8 x 2.8 cm. Complex predominantly solid nodule in the right midpole measuring 2.4 x 2.1 x 2.4 cm grossly unchanged from prior exam.
Left lobe measures 7.1 x 2.6 x 2.9 cm.. There is heterogeneous nodule in the lower pole measuring 1.8 x 1.8 x 1.5 cm and is slightly more prominent on prior exam where it measured 1.4 cm. however this may be technical in nature. There is a mid to lower pole nodule measuring 1.3 x 0.9 c 1.0 cm hypoechoic, unchanged. There is a mid to upper pole nodule measuring 1.3 x 1.0 x 1.5 cm with punctuate echogenic foci for which microcalcifications cannot be excluded, unchanged from prior exam. There is a gross dystrophic calcification the midpole measuring 6 mm likely unchanged when allowing for technical differences. A benign lymph node is seen in the left neck measuring 1.2 x 0.4 x 0.8 cm.
Isthmus: mesures 2.7cm. In the right isthmus there is vascular 1.1 x 0.9 x 1.1 cm heterogeneous hypoechoic nodule unchanged .
Blood Test : August 31, 2009
TSH - 0.75 Range 0.34-5.60
T4 Free - 0.86 Range 0.58 – 1.64
Thyroglobulin AB 557 Range <20
Thyroid Peroxidase AB 15 Range < 35
After all this I am very confused and concerned that my endocrinologist told me to see her in one year.