Please tell me what this Ultrasound scan means!!!!!

[xxAmeliaoo]

Results are
"The Thyroid gland is enlarged with the right lobe measuring 4.8 cm in length, the left thyroid lobe measuring 4.6 cm in length, and the isthmus measuring 6mm in thickness.  The thyroid parenchyma is diffusely heterogeneous.  Within the thyroid parenchyma, a discrete nodule or cyst is not detected.  Immediately inferior to the lower pole of the left thyroid lobe. There is a 15mm circumscribed nodule which appears to exhibit a plane of seperation from the lower pole of the left thyroid lobe.  This may reflect a midly enlarged lymph node.

IMPRESSION
1. Thyroid enlargement with heterogeneous parenchyma.
2. No definite intrinsic nodule or cyst within the thyroid gland.
3. 15 mm solid nodule inferior to the lower pole of the left thyroid lobe with an apparent plane of separation from the lower pole of the left thyroid lobe.  This may reflect an enlarged lymph node.  This could be further characterized with CT scanning if clinically indicated.



Also, on my blood test MCH was high as normal range is 27-31 [mine is 32].   MPV is low at 7 where normal range is 7.5-10.5.  

AND Squamous Epithelial Cells are high measuring at 10-20 while normal range is 0-5.
What does this mean?
Please someone help interpret this or even just offer an opinion.... anything is GREATLY appreciated!!

[redheadaussie]

There are a ton of lymph nodes through out the body. Sometimes they get filled with all the muck from draining infection away and just get blocked up. Only if it increased and started to push in on your thyroid would you need to get it looked at. My daughter had similar in her neck but hers grew to the size of a grapefruit and was hindering her breathing, so was removed. Not cancerous.
Yours may just be blocked up and always stay that way. It may never need looking at! You would be surprised to know how many people at autopsies had things like that and never even knew in their lifetime!
  
I am glad you are on medication for the hypo. If it is Hashimoto's it can often go through phases of enlargement then back to a semi-normal size.
Cheers

[xxAmeliaoo]

Thank you for the responce.
I have had thyroid [hypo] for over 10 years now and am on medication for it.
Wouldn't the lymph node just be enlarged? Why is it hard?

[redheadaussie]

From what I can gather, your thyroid is slightly enlarged. You don't have any nodules that are obvious. The one they see thinking it is a lymph node is kind of hiding and not clearly defined.

The Squamous Epithelial Cells are nothing to do with your thyroid. These are on the outside of your body cells. Did you have a urine test or a PAP test done? Sometimes the urine tests can get skin cells in it and give a false reading.

Your MPV's are only just a tad under and really nothing to worry about. Just means your platelets are a little bit lazier than normal!
The MCH just shows you might be a bit anemic. Very common finding! (women who were menstruating at the time of the test often get this result) Yours is only a tad over so again, nothing to worry about.

Having an enlarged thyroid is probably the start of finding out that you have thyroid disease. Hashimoto's can give you an enlarged thyroid. If it is causing you problems then they may suggest going onto medication.  Their idea of getting a CT scan done is only if you they aren't convinced it is a lymph node. Lymph nodes often increase in size and we don't even realise it!
Cheers!