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Thyroid single uptake at 12 hours??

I just received my results from nuclear medicine thyroid single uptake on a solid, smoothly circumscribed, mildly hyperbolic oval nodule measuring 0.9 x 0.5 x 0.6 cm. The 12-hour uptake (actually taken at 11 hours) was 17.7%.  No hot or cold nodules were seen.  Considering I have difficulty breathing and swallowing, is it possible to have it surgically removed with having to have an FNA?  It seems that I keep getting referrals for test after test but no action.  Now I am scheduled for upper GI series.  My primary was upset I asked for referral to surgeon instead of dropping the matter regardless of my Vitamin D level being 12.5, extreme fatigue, and total body muscle aches.
TSH 1.14
T3. 113
FT4. 1
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hyperbolic or hyperechoic?
The uptake scan is normal (typ 15 to 30%)BUT the nodules less than 1 cm in size are not picked up well by uptake scanner. This nodule may have egg-shell calcification and in theory can irritate structures near by.
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Thank you.  Hyperechoic sorry.  (Autocorrect) I'm scheduled to see the surgeon at the end of the month.
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