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Thyroid ultrasound findings

Hello, I am a 29 year old female.  I recently found a palpable lump on my thyroid and had an ultrasound a week ago.  The results are as follows.

The right thyroid lobe measures 4.5x1.6.1.4 in size.  The left thyroid lobe measures 4.2x1.7x1.5 cm in size.  The thyroid isthmus measures 3mm in thickness.  There are multiple nodules detected in both thyroid lobes.  On the right, the largest nodules is located midaspect and measures 9 mm in diameter.  It is heterogeneously hypoechoic.

In the right thyroid lobe/isthmus, there is a 2.3 cm diameter diameter heteregeneous complex nodule that is compatible with the palpable abnormality experienced by the patient.  In the superior left thyroid lobe, there is a 2.3 cm diameter complex appearing nodule.

Impression:  There are large complex appearing heterogeneously hypoechoic nodules in both thyroid lobes.  correlation with a thyroid uptake and posible percutaneous biopsy recommended.
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Avatar universal
You have a messy thyroid. Get your TGab and TPOab to determine if Hashimoto's is to blame.

If you  have these blood tests, please post: TGab, TPOab, TSI, FT4, FT3, TSH

Any symptoms? Please list all of your physical complaints. If the thyroid is slowing down, the entire body will be sluggish. Legs, stomach, kidneys, liver, muscles, brain, ears, eyes, skin, etc.... Lots of aches and pains.

Once the nodule gets over 2,0 cm, biopsy gets less reliable because the doc might not get all of the nodule biopsied. You are right there on the edge, so you will have some decisions to make. No surgery and if you indeed have Hashimoto's, then take the hormone and see if the nodules shrink. Or get the surgery and then you will also be taking the hormone since you will no longer have a thyroid. If you choose surgery, then pick a surgeon who does at least two of these surgeries weekly. The more experience, the better.

I have Hashimoto's. People with Hashimoto's typically have thyroids like yours.  My largest nodule was 1.0 cm. All four of my nodules shrunk to pencil points on thyroid hormone replacement, so I didn't need to have my thyroid removed. I had the biopsies, which were less painful than a trip to the dentist.

My mom, who also has Hashimoto's, had a 7.0 cm. nodule, so they removed it and that lobe. It wasn't cancerous, but she felt better safe than sorry. Though multi-nodules are less likely to have cancer, some don't want to take the chance of leaving these nodules in place. If, on the rare chance, it was cancer, this is typically slow growing and doesn't spread for years, so don't panic. It has a VERY high cure rate, especially at your age.  

Take care...
:) Tamra
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Avatar universal
I'm very sorry about your miscarriage. Please don't go back to the same doc who diagnosed you hypothyroid unless he/she also gave you the TGab and TPOab antibody tests to determine if Hashi was to blame.

Unfortunately, Hashimoto's is an auto-immune disease, not just a low thyroid condition. 90 percent of hypos have Hashimoto's in developed countries. With your nodules and symptoms, I'd bet money you have Hashi. I have no idea why so many endos still treat it as a thyroid problem and dismiss the underlying cause and refuse to address diet and exercise as well as balancing the leaky gut that is usually the underlying cause.

Ever get a bloated, gassy stomach? Hives, rashes, etc??? Since giving up gluten, I have felt amazingly better.

For a further understanding, I recommend this book to ALL people with Hashimoto's. Get it before you get pregnant again. www.thyroidbook.com

Yes, you can deliver a healthy baby, but you must get this disease under control first.

:) Tamra
Helpful - 0
Avatar universal
ooo im sorry to hear about your misscarrage erica  no the wonder your feeling like you are your emotions will be all over the shop but you know what they say the fall before the rise you losing wieght you be pregnant soon the only bad thing is that youll carry over the summer you will get all hot and bothered lol but in a pleasant way good luck and be happy dont let this anxiety
thing get to you x x x
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Avatar universal
I have had horrible anxiety, have lost 20 lbs in the last month, emotional instablility, chest pain, and overwhelming fatigue.  I just am so worried because I was diagnosed hypothyroid a couple of years ago and was put on a very low dose of levothyroxine, which i was taken off of a few months later.  My most recent blood tests for Free T4 and TSH were all in normal range.  I feel like I have been on an emotional rollercoaster with the inability to control any of these feelings and I started thinking it was all in my head.  Now, thank goodness, I have some sort of resolve so far. Last month, my husband and I suffered a miscarriage and Im wondering if my thyroid was the culprit?  Anyway, thank you very much for your advice.  I have my first endo appointment this week.  Ill let you know.
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Avatar universal
hiya i have just been for ultra sound on thyroid i asked if there was annything to show and was told i had small noduals and a fluid filled cyst but nothing specific the g p will have my results in a fortnights time surely the finding s are specific ?arnt they or dont they count i went because of breathlessness and felt it was more in throat than in chest and lung region
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Avatar universal
2.3 cm diameter diameter heteregeneous complex nodule must be biopsied under ultrasound guidance in order to get tissue specimen from solid, not cystic portion of the nodule.Sometimes the nodule can increase in size due to the internal bleeding.
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