I had a follow-up Thyroid ultrasound, very disturbing. Increased vascularity noted within the gland. Right lobe measures 6.4cm x1.8cm x1.8cm. Left lobe measures 6.3cm x1.6cm x 1.8cm. The left has slightly increased from the previous exam. The isthmus is 4.3mm thick with a hypervascular nodule in the isthmus measuring 10.7mm x 4.5mm x7.3mm.
On the R, several subcentimeter hypoechoic and heterogenous nodules noted. The largest is in the mid lobe measuring 6.8mm x 5.9mm x 4.7mm with increased vascularity.
On the L, several subcentimeter heterogenous nodules are now noted. (Meaning they weren't there the previous ultrasound)? The largest measures 9.4mm x 4.7mm x 5.7mm. Increased vascularity is present.
Then also noted on the report it says; prominent lymph nodes are noted along the jugular chain and submandibular region, the largest measuring 21.2mm x6.2mm on the right and 12.9mm x 5.4mm on the left.
This is the third follow-up ultrasound I have had. I do not have the others to compare it to; however, I have complained of hoarseness and feeling like something is in my throat and choking. For the last 5 months I have been hoarse continuously, not off and on anymore. I went to an ENT who said my vocal chords were swollen, additionally my ears are painful all the time.
This report does not sound good to me, but I would like your opinion so when I go to the doctor on the 10th I have information. I feel something else needs to be done and not another follow-up ultrasound in another year.
The thyroid is slightly enlarged with multiple small nodules - sometimes the technician does not record all nodules if there are multiple small ones - so hard to conclude these are "new" - would correlate with TPO antibody and TSH to see if this may be autoimmune thyroid changes on ultrasound. This is not likely to cause hoarseness and vocal cord inflammation - that sounds more like acid reflux (even w/o heartburn) or post-nasal drip from sinus congestion (or both).
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