Your take on my thyroid ultrasound?

[canadagoose10]

I'm in a 2 week wait to see an Endocrinologist, and would really appreciate some feedback about my US results.  My GP didn't want to discuss them, and after doing various readings, I'm concerned about it.  Please offer up some feedback, whether good or bad.  I've had various symptoms for over a year, and it seems like I may finally have the reason.

Thank you in advance!  I really need some honest medical opinions.

[Eric Wang, MD]

Thyroid ultrasound is interpreted in the context of clinican signs and symptoms, family history, as well as related laboratory tests.  Furthermore, thyroid nodules are extremely common.  Depending on the combination of above factors, your doctor may elect to order more testing, do nothing, or perform a needle biopsy.

[canadagoose10]

Oops, forgot to paste them!  (nerves!)

Here:

History: Increased right lobe

Findings:
The right lobe is mildly increased in size compared with the left with the right lobe measuring 55 x 22 x 30 mm and left lobe 58 x 15x 19 mm.  There is a dominant complex cystic and solid mass in the mid-lower pole of right lobe measuring 37 x 17 x 30 mm.  The has prominent vascularity associated with it.  The right lobe of the thyroid is otherwise heterogeneous in appearance with no discrete smaller nodules identified.  On the left there are multiple small hypoechoic nodules present.  The largest posteriorly and inferiorly measures 10 x 7 x 6 mm with multiple other smaller nodules measuring 6mm or less in size.  The isthmus measures 4mm with no focal abnormalities.

Impression:

Bilateral thyroid nodules.  The dominant nodule in the lower right lobe is 3.7 x 1.7 x 3.0 cm.