thyroid scan results

[purpleeyes]

Just got my thryoid scan and uptake results today.  The diagnosis section lists multinodular goiter, hyperthyroid, abnormal laboratory studies.  The 24 hour uptake is 25% which is upper limits of normal range.  The dominant nodule is warm.  I have had bloodwork come back with TSH showing hyperthyroid but t3 and t4 are normal range.  The ultrasound showed a 1 inch nodule.

What does all this mean?

thanks

[Mark Lupo, M.D.]

This means you have subclinical (mild) hyperthyroidism (low TSH with normal t4 and T3) that is likely due to an autonomous (toxic) nodule.  treatment decisions are based on symptoms, age, other conditions, etc but usually include radioactive iodine or surgery to remove the dominant warm nodule.  Usually it is advised to work with a thyroid specialist in these types of cases.

[Mark Lupo, M.D.]

Dr Sam Lerman in Hollywood
Dr Elliot Levy in Miami

With the nodule being "warm" it is possible that treatment will ultimately be needed.

[purpleeyes]

Thank you for explaining that.  I had a follow-up with my endocrinologist today.  He reviewed my 4th bloodwork for TSH in less then 6 weeks.  These results are still mild hyperthyroidism but each blood test it becomes less and less mild.  He will run all tests again in 3 months (ultrasound, uptake, blood).  Here's the problem.  I have mild cerebral palsy (both legs) so I have always become exhausted easily (walking a block or two).  I feel as though I am more tired these past couple of months.  I thought maybe the combo of c.p. and hyperthyroid could be doing this and if the thyroid levels were normal I could have more energy.  He seems to disagree because it is only "mild" hyper.  Would you recommend a second opinion for the thyroid or just accept aging process of cp?  If you suggest a second opinion, can you recomend a doctor in the south Florida area (dade, broward, palm beach)?  

Thank you very much