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2085980 tn?1332751645

complex mass with vascularity within the nodules

Good morning doc. i havent visit my doctor yet. can you please explain my results in my ultrasound:
left lobe shows a complex mass in the midpole, mostly cystic, septated measuring 2.4 x 1.7 1.8 cm.
vascularity noted within the nodules. No calcifications seen.
no enlarged nodes in both sides of the neck.

i also did the thyroid panel test: results are: ft4 SI UNITS 13.51 and tsh SI UNITS 2.62

THANK YOU FOR YOUR REPLY. God bless..
4 Responses
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97953 tn?1440865392
MEDICAL PROFESSIONAL
Most of these are benign but with the 2.4cm size, we usually do fine needle aspiration biopsy to confirm.  The TSH is normal reflecting normal thyroid hormone production. A nuclear scan is NOT indicated/helpful in this setting.
Helpful - 1
2085980 tn?1332751645
again, thank you so much doc. i will ask for a second opinion. my biopsy result will be available next week. so im keeping my fingers cross that the result would be benign. reading your comments were informative.
Helpful - 0
97953 tn?1440865392
MEDICAL PROFESSIONAL
Your initial thyroid function tests were normal based on the TSH.  In these cases we typically do not give levothyroxine.  Most patients with nodules, or nodular goiter such as you have, have normal thyroid blood tests and do not need medication.
Helpful - 0
2085980 tn?1332751645
thank you for the explanation doc.
i already visited my doctor, according to him, i have goiter. is it possible considering my thyroid panel tests are normal? he did biopsy and my specimens were now for lab. he gave me prescription - 3x a day augmentin (co-amoxiclav) and euthyrox (levothyroxine) once a day.
will i asked for a second opinion doc? i kinda felt its weird.
again thank you so so much for your patience in my inquiry. thank you again doc.
Helpful - 0

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