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487969 tn?1249313291

Question about ENT appt this afternoon - swelling, swelling - oh the swelling

Good morning!  I woke up this a.m. with the swelling more than usual so I called the ENT's office (never seen him before but the kids have so at least they don't think I'm nuts!) and asked if there was a possibility that I could be seen today instead of tomorrow.  Guess God is on my side today, b/c they could squeeze me in!  Anyway, given the heterogeneous goiter getting bigger and normal blood values is there any specific questions or demands I should make?  I am going to insist on a CT or MRI or whatever, but I didn't know if there was anything else I should do.

Sending well wishes to all of you and thanks so much for your response!
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487969 tn?1249313291
So - does that 15% great than upper limit of normal and the right instead of left lobe still sway you toward the impression of an "itis" of the thyroid?  

A little bit of funny thing just happened..

I just went to have a chip in a filling fixed, when the dentist deadened the area (of course it had to be the bottom back tooth on the RIGHT), the shot made the tense feeling in my neck go down a little and deadened the right ear where it has been feeling full.  This is the first time in so long that I feel I can actually hear out of that ear without a muffled feeling.  The feeling is coming back to my lip and ear so the ear is popping.  I just thought that was interesting and I am going to mention it to the ENT in a bit!
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Avatar universal
898
Yes, I calculated the size of yours.
Considering the errors of the ultrasound, I could say it is about 15% greater then the upper normal limit, mostly because of enlargement of the right lobe (in normal thyroids, the LEFT lobe is slightly larger then right).

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487969 tn?1249313291
Did you do my demensions for me??  Thank you if you did! :)  So, what does that mean?
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Avatar universal
898
It stays for cubic centimeters, the product of the dimensions: Right lobe:14.8 cu cm; Left lobe 10.4 cu cm.the total volume is 25.2 cu cm which is more then 18 cu cm.
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487969 tn?1249313291
the measurements from the US said:

"Thyroid Ultrasound Dated 4/8/08:   No previous are available.  

Findings: Right lobe measures 5.3 x 2.0 x 1.4 cm, left measures 5.0 x 1.3 x 1.6 cm

On the right, heterogeneous echo texture is seen without a discrete focal lesion.  On the left, similar findings are present.  Impression:  Heterogeneous thyroid upper limits of normal in size.  No focal suspicious lesions identified."

what is the cu cm?
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Avatar universal
898
Although in some cases the normal thyroid may have rough globular APPEARANCE, the ultrasound of it will not indicate the heterogeneous STRUCTURE. What was the thyroid volume in cu cm? .The upper normal limit is 18 cu cm for women. (This size has 10 percent variance among the population)
The last note: If the swelling on the neck is visible and it moves up when the patient swallows, it most likely related to the thyroid
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487969 tn?1249313291
Thank you so much for all of your help during this.  I really appreciate it!
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Avatar universal
898
Sedimentation rate blood test can indicate inflammation/infection in case of subacute thyroiditis.
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