Help!!! High total t4; nodule on thyroid

[babygurl112402]

I had routine bloodwork done and my total t4 is 15.90  (range 4.50-10.90 ug/dl)   tsh 0.821   (range 0.350-5.500 uiu/ml/). My triglycerides and cholesterol, HDL, LDL are also high and my dr. did give me medicine for this.

Instead of sending me for more blood work my dr sent me for an ultrasound and this is what it says...
size: Right lobe- 4.5cm x 1.4 cm x1.8 cm  left lobe 4.0 cm x 1.5 cm x 1.3 cm  Isthmus- approx. 4mm AP diameter.

Glandular contour is maintained and the echotexture is bilaterally homogeneous. In the upper/mid right lobe is a tiny sonolucent ( allowing for technical artifact) focus measuring approx. 3mm in diameter; probably tiny cyst.
No other focal nodule is seen. There is no adjacent lymphadenopathy.

What does this mean????
I been having insomnia, headaches, anxiety,depression, cant lose weight, throat sore, hot, thirsty, shaky,tired, irritable, ...

Please help! I been waiting for my dr to call me but I have not heard from him and now the office is closed and he is going on vacation.

[babygurl112402]

Thank you I greatly appreciate all your information. I hope all is well with your husband

[Barb135]

High cholesterol is a symptom of hypothyroidism.  Do you have any blood test results that you can post, so we can determine whether or not you are hypo? Be sure to include reference ranges, which vary lab to lab and must come from your own lab report.

If you're hypo, bringing your thyroid levels to a level that's good for you, could bring your cholesterol levels down, as well.  My cholesterol goes hand in hand with my thyroid levels........... low thyroid/high cholesterol and visa versa.

[floridagirl1211]

babygurl I understand your feelings about not wanting to take meds for your cholestrol at age 29 for the rest of your life....with that said I so hope you re consider.  My husband just had a triple bypass last year at age 48 and his risk factors was very low since had had never drank or smoked, but he did have high cholestrol which he had been taking meds for a couple of years.  He exercised on a regular basis with no warning of the severe blockages until a week before it was discovered.  I'm not saying this will happen to you, but by controlling your cholestrol it can sure lessen the chance that it will in the future.  Sorry, but sometimes my need to mother gets the best of me...Lol

[babygurl112402]

Thanks so much!
Waiting to see the dr but it's not for another week. He thinks that my symptoms are due to my cholesterol in which he called me in a RX for pravastatin 20mg which I am skeptical to take. I'm only 29 and do not want to take this stuff forever plus all the side effects!
I still feel like there is something else going on with my thyroid and the nurse said he probably will not do anymore testing on it!!!

[898_1]

3mm nodule is most likely enlarged follicle (they are less than 1 mm average size). [Follicles are the building blocks of thyroid gland] In addition according to report, that radiologist is not sure if it is really present or just sort of "false" image created by ultrasound transducer.

[babygurl112402]

Does that mean that I have a 3mn nodule? I'm confused.

[898_1]

The thyroid volume is approximately 11 cu cm (upper limit 18, average 8). No other features suggestive of clinical abnormality are present in the report
Due to elevated T4, it is good idea to test blood flow in the gland as well as do a blood test for TSI antibodies. (high blood flow combined with high TSI antibodies may raise suspicion of Grave’s disease)

[babygurl112402]

They did just call me today and said that my ultrasound is normal! I will no longer have insurance in 2 weeks and I feel like they are dragging their feet and something Is wrong.
At the bottom of the ultrasound it does say if imaging evaluation of thyroid function is clinically appropriate suggest nuclear medicine scan/uptake.

[Barb135]

It's understandable that you are worried.  Usually, there is an "impression" at the bottom of the report, that recommends further action, if any is needed.  If there's nothing there, there's probably not much to worry about.

Many of us have nodules on our thyroid and they are nothing to be alarmed about.

You should try to call your doctor's office again; surely, there's someone who can explain the report to you.

[babygurl112402]

I have never had any problems with thyroid before or diabetes. So I am worried and all this is new to me.

[Barb135]

Unfortunately, the Total T4 is considered obsolete and of little value, because a lot of that T4 will be bound by protein and unusable. Unfortunately, your doctor neglected to test Free T4, which would tell us what is actually free to be converted to T3, which is the hormone, actually used by the individual cells.  Additionally, there is no Free T3 result, so it's impossible to tell what's really going on.

I'm not an expert on ultra sound, but it doesn't seem overly alarming.

Some of your symptoms correlate with hyper, some with hypo and still others with diabetes.

Have you been tested for thyroid antibodies?  Or diagnosed with either Graves Disease or Hashimoto's Thyroiditis?