Avatar universal

Will you please help me to uderstand my Thyroid sonogram results?

I have had Hashimoto's disease for 17 years and just had a sonogram done on my thyroid. I will have a FNA biopsy next week but would really like to better understand what I may be facing before going into the biopsy.

My pathology reports reads:
Right lobe of thyroid measures 5x1.8x1.9 cm and the left lobe measures 5.5x2x1.7 cm.

The thyroid parenchyma is quite inhomogeneous. No definite 3-dimensional nodule is seen on the right lobe of the thyroid gland. There is one solid nodule noted in the lower pole of the left lobe of the thyroid measuring 1.9 x 1.5 x 1.2 cm. Increased vascularity is noted in this nodule on color Doppler.

Small lymph nodes are seen in the left side of the neck, the largest seen just lateral to the left thyroid gland measuring 2.1 x 0.4 x 0.7 cm.

Impression: Markedly inhomogeneous and slightly enlarged thyroid gland with a solid nodule measuring 1.9 cm in the lower pole of the left lobe. Biopsy under ultrasound guidance recommended.

Does my sonogram pathology seem to point to cancer? I've researched the jargon via the internet and it's not clear as to what everything means. Please help me understand.

Thanks so much!
2 Responses
Sort by: Helpful Oldest Newest
Avatar universal
The ultrasound itself is not used to diganose the cancer. the stistical study shows that the cold nodules WITH internal blood flow and larger then 1 cm are generally having 22% risk to be suspected for the cancer. Presence of microcalcifications increases that risk to 23% [but your report did not indicate any].
Based of nodule size [more then 1 cm] and internal blood flow the biopsy must be performed to give the answer; also the lymph node can be biopsied as well.
In the past the fixed, firm and  fast growing nodules were strongly suspected for cancer, now this conclusion can be made only after biopsy readings.
Helpful - 0
929504 tn?1332585934
The most accurate way to determine whether or not there are any type of abnormal cells within the nodule is to have a biopsy of the nodule.
Helpful - 0
Have an Answer?

You are reading content posted in the Thyroid Disorders Community

Top Thyroid Answerers
649848 tn?1534633700
Avatar universal
1756321 tn?1547095325
Queensland, Australia
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
Condoms are the most effective way to prevent HIV and STDs.