hypoechoic thyroid nodules

[cathyr]

Hi,
I just got my lab results back for a thyroid ultra sound reading: mildly enlarged thyroid gland. There is a 5x2 mm oval hypoechoic nodule in the left lobe of the gland. The nodule is vascularized and well defined with no calcifications. I have had ear pressure for 4-5 weeks, miss-diagnosed with antibiotics because they thought it was due to sinusitis. Then told it was TMJ...then possible Menaires? Explained about the neck-throat pain, difficulty swallowing and apnea. Drs finnally did a CT scan of head only and finally told me it could be Labyrinthitis. Vertigo going on 5 weeks now. Ears not popping as much but neck still painful? TSH T4 all within normal range? Any ideas? Dr wants to schedule a thyroid scan?

Help!

[cathyr]

Thanks Dr. Lupo,
Will the labyrithis go away? I had a 12 hour non-sleep episode last night of constant vertigo? Will tgis get better and what can I do to help it? I am a single parent now off work 3 weeks...

Cathy

[Mark Lupo, M.D.]

Vertigo is unrelated to the thyroid in this case (normal TSH).  A scan would be of little help -- the nodule is small at 5mm (1/5 of an inch) and should be monitored with repeat ultrasound in 4-6 months.  There does not seem to be a significant thyroid enlargement or nodule to explain neck-throat symptoms.