Thyroid Ultra Sound

[Judirene]

I had a thyroid ultrasound and it came back as follows:
Real-time, color-flow, duplex and Doppler sampling was completed of the duplex and Doppler sampling was completed of the thyroid which confirms the presence of a hypoechoic nodule within the right thyroid lobe toward the upper margin of 4x6 mm and at the mid pole of the thyroid of 4x4.5 mm. Relative homegenous echotexture throughout the remainder of the right thyroid lobe as well as diffusely throughout the left thyroid lobe. Isthumus is not thickened.
Left thyroid lobe overall measures 1.5x3.6x1.6cm. Right thyroid lobe overall measures 1.9x3.6x3 cm.

Conclusion:
Two hypoechoic nodules within the right thyroid lobe. Consider percutaneous aspiration biopsy as clinically indicated for further evaluation pending functional status evaluation.

What does this mean?

[898]

No prob
The diameter of the nodule can range from 3 mm to 40 mm and larger, but most people have it removed when it is >30 mm [3 cm] due to compressive issues.
The nodules less then 10 mm 1 cm are considered small, they usually monitored.
Small nodules 3 to 4 mm diameter are very common; before the ultrasound become widely available for imaging, they were never detected. The nodules larger then 1 cm are less common and can be detected by palpation. If such nodule is found, the FNA [biopsy] is usually performed then if nodule is benign it is monitored by ultrasound every year, the patient can also do self exam to see if the nodule grown significantly.
Homogeneous echotexture means the tissue of thyroid is uniform and fine-grained;
Isthmus is not thickened means it is normal
I would like to ask why you were having thyroid ultrasound [abnormal blood test for example?]

[Brooksie89]

I had an ultrasound that showed I had a small nodule on the right side of my thyroid.  It measures 0.9x0.6x0.8 cm.  My gyno wants to do a thyroid scan with the radioactive iodine, but my ent says do not have it.  To get my TSH levels down to normal (right now 5.67) and see if that want shrink it and then when levels are down I may want to have another ultrasound.  Of course, I am like you scared to death of cancer!  I am going to talk with my regular md the first week in March when I go to have my levels rechecked.

[Judirene]

Thank you so much for answering my question. I am totally freaked out. The doctor's office just called and want me to come in right away for a biopsy. I am so scared it's cancer.
So these are not large in size (I have no idea) >
what does the Relative homogeneous echotexture throughout the remainder of the right thyroid lobe as well as diffusely throughout the left thyroid lobe mean?
Also says that the Isthmus is not thickened, is this a good thing?

[898]

Hypoechoic nodule means it is reflects less ultrasound waves then surrounding tissue; traditionaly LARGE hypoechoic nodules were considered of having higher risk to be malignant [20 % vs 5%] however the nodules of this size are usually monitored ; [the relialble biopsy can be done if they 10 mm size and larger]