Thyroid Sonogram May 30, 2008
Jul 17, 2008 03:27PM
- 2 comments
Clinical Indication: Goiter
The thyroid images were obtained using 12-14 Hz high frequency linear transducer in multiple planes.
Left lobe measures 4.58 x 1.77 x 1.27 cm in size. Right lobe is 4.95 x 2.07 x 1.32 cm in size. The isthmus is 0.31 cm in thickness.
Right Lobe: Has mutliple small cystic lesions.
(1) 0.75 x 0.75 x 0.60 cm, largest nodule on the mid to lower pole. Has indiscrete borders.
Left Lobe:
(1) 0.78 x 0.76 x 0.73 cm, hypoechoic lesion on the middle pole with moderate vascularity.
IMPRESSION: Multi Nodular Goiter with heterogeneous texture consistent with Hashimoto's Thyroiditis. There are multiple subcentimeter areas throughout the thyroid bed. I recommend a follow-up sonogram in one year and clinically as needed
The thyroid images were obtained using 12-14 Hz high frequency linear transducer in multiple planes.
Left lobe measures 4.58 x 1.77 x 1.27 cm in size. Right lobe is 4.95 x 2.07 x 1.32 cm in size. The isthmus is 0.31 cm in thickness.
Right Lobe: Has mutliple small cystic lesions.
(1) 0.75 x 0.75 x 0.60 cm, largest nodule on the mid to lower pole. Has indiscrete borders.
Left Lobe:
(1) 0.78 x 0.76 x 0.73 cm, hypoechoic lesion on the middle pole with moderate vascularity.
IMPRESSION: Multi Nodular Goiter with heterogeneous texture consistent with Hashimoto's Thyroiditis. There are multiple subcentimeter areas throughout the thyroid bed. I recommend a follow-up sonogram in one year and clinically as needed
The ultrasound alone is not representative for diagnostic of the Hashimoto’s thyroiditis.
Even with thyroiditis in hyper-stage, the antibodies will be elevated and low 8% RAIU will be indicated
Even with thyroiditis in hyper-stage, the antibodies will be elevated and low 8% RAIU will be indicated
I was waiting for you, 898!!! Endo want to RAI Ablate! I need your thoughts!!! PM me PLEASE!!!
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