Thank’s in advance for your time. Happy w/my endo - specialty is diabetes. I’m interested in your opinion.
Symptoms include depression @ 6 mo, ache in collarbone region, very itchy skin w/eczema like patches, overheating in the evenings, hot flashes at night, menorrhagia, mild hair loss calves, head & pubic, no appetite due to nausea.
Mar 07 TSH 1.39, Thyroxine, Free 1.03
Sept 08 TSH 1.69 uU/mL, T3 108 ng/dL, T4 7.0 ug/dL, FT4 1.4 ng/dL, FT4 Index 6.5, T4 Uptake 1.07
Thyroid Echo Mar 07
"three hypoechoic nodules measuring 2mm, 3mm & 3mm" on the right lobe "within the left lobe there are two small nodules within the upper and mid-pole measuring 3mm & 2mm" and "Within the inferior pole there is a complex nodule measuring 1.4 x 1 x .08 cm. Remainder of the thyroid parenchyma is diffusely irregular in echogenicity. Contour of thyroid gland is also mildly irregular"
Impression: Findings consistent w/multinodular goiter with a single large nodule measuring 1.4 cm in greatest diameter. Malignancy cannot be excluded and histologic evaluation is recommended.
Cytology Report Apr 07
(A) Thyroid Nodule, Ultrasound Guided Biopsy:
- Negative for malignant cells: inflamed otherwise sparse to acellular specimen
Comment:
Fluid thin layer cell concentrate preparation is examined. This is bloody, moderately inflamed and otherwise sparsely cellular. The inflammation is dominated by small round “mature” lymphocytes with occasional intermixed macrophage and polymorphic nucleated leukocyte. The remaining cellularity consists of anucleated cellular cytoplasmic remnant with only rare fragment of cytologically bland thyroid follicular epithelial cells; these are quantitavely limited and not further diagnostic.
(B) Thyroid Nodule, Ultrasound Guided Biopsy:
- Negative for malignant cells: inflamed otherwise sparse to acellular specimen
Pre-Op Diagnosis: Thyroid Nodule
Post-Op Diagnosis: Not specified