Aa
Possible Graves?
Hello Dr. Lupo,
In March, I had a thyroid uptake test and ultrasound and my results are as follows: T3 - 0.87 (range 0.80-2.00), T4 - 1.2 (range 0.7-1.8), TSH - 0.61 (range 0.50-4.50). It was also stated that "moderate homogeneous radiotracer uptake in enlarged bilateral thyroid glands is suspicious for Graves disease". Both lobes are slightly enlarged. My thyroid impression is "mild diffuse thyroid enlargement".
I am seeing an endo doctor because I have been diagnosed with subclinical hyperthyroidism and multinodular goiter about 5 years ago. I have had one biopsy of one of my nodules and it was benign. I am currently on no meds. I am 46 years old and have a very low vitamin D count and taking meds for that but otherwise healthy. My symptoms include intolerances to heat and cold, bowel changes, unexplained anxiety/depression, exhausion, unexplained weight loss and heart palpitations. I have been having these symptoms for years but no one has put me on medication. I have a follow up with my endo doctor in September.
Can you explain what those results mean?
Why haven't I been put on medication?
What other tests needed to make a more accurate diagnosis of whether or not I have Graves?
.
In March, I had a thyroid uptake test and ultrasound and my results are as follows: T3 - 0.87 (range 0.80-2.00), T4 - 1.2 (range 0.7-1.8), TSH - 0.61 (range 0.50-4.50). It was also stated that "moderate homogeneous radiotracer uptake in enlarged bilateral thyroid glands is suspicious for Graves disease". Both lobes are slightly enlarged. My thyroid impression is "mild diffuse thyroid enlargement".
I am seeing an endo doctor because I have been diagnosed with subclinical hyperthyroidism and multinodular goiter about 5 years ago. I have had one biopsy of one of my nodules and it was benign. I am currently on no meds. I am 46 years old and have a very low vitamin D count and taking meds for that but otherwise healthy. My symptoms include intolerances to heat and cold, bowel changes, unexplained anxiety/depression, exhausion, unexplained weight loss and heart palpitations. I have been having these symptoms for years but no one has put me on medication. I have a follow up with my endo doctor in September.
Can you explain what those results mean?
Why haven't I been put on medication?
What other tests needed to make a more accurate diagnosis of whether or not I have Graves?
.
MEDICAL PROFESSIONAL
The labs are normal at this point.
The uptake/scan result is equivocal, but would not conclude Graves (as TSH is normal and a slightly high uptake does not always mean graves).
For nodules, ultrasound is much better.
Would check thyroid antibodies (including graves marker).
Would not usually treat labs like this - discuss with your endocrinologist.
The uptake/scan result is equivocal, but would not conclude Graves (as TSH is normal and a slightly high uptake does not always mean graves).
For nodules, ultrasound is much better.
Would check thyroid antibodies (including graves marker).
Would not usually treat labs like this - discuss with your endocrinologist.
Thank you so much for that information. I will request this test and talk more with my endocrinologist.
You are reading content posted in the Thyroid Cancer / Nodules & Hyperthyroidism Forum
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
