An MRI showed a thyroid mass. Doctor then sent me to have an ultrasound. Findings are: Right lobe 5.1 x 2.2 x 2.0 cm. Left lobe 4.0 x 1.2 x 1.9 cm. Both lobes and isthmus are heterogenous. There are discrete nodules noted. These occur bilaterally. The largest is in the right lobe inferiorly and measures 11 x 8 x 12 mm. It is echogenic. Most of the nodules are hyperechoic.
Impression: Findings are most compatible with multinodular goiter with the nodules reflecting areas of adenomatous hyperplasia, follicular adenomas, and/or complicated colloid cysts. Ultrasound cannot predict histology. Malignancy accounting for those nodules is not completely excluded but unlikely.
I have taken 1.25 synthroid for 4 years - no issues and levels fine per my doctor. He is now schedulinga Nuclear scan. I would like to know what this information means and if it is something that should be troubling or concerning at this time. You can see a thickening in the right side of my neck.
I don't think a nuclear scan will provide any useful information at this point. I would check antibodies - as the heterogeneous pattern is probably hashimotos. Then would consider an US guided FNA of the R inf dominant nodule.
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