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Need help deciphering U/S results

I've had painless lymph gland swelling in my neck for approx. 2 years.  When I first noticed it I asked my doctor to check it out.  She ordered some blood work and told me that sometimes they will enlarge for no apparent reason. My blood work all came back within limits.  Last month my heart rythmn began to act up and all of the cardiology tests came back good, but he noticed the swelling in my neck and suggested it might be something going on with my thyroid.  Both my mother and grandmother were hypothyroid and my grandmother also had a goiter removed.

My TSH was 4.31 last month when the heart was acting up.

I went back to my PCP and she sent me for an ultrasound.  I'm not sure what all of the terminology in the report means and could use some help figuring it out.

The right thyroid lobe measures  4.7 x 1.7 x 0.9 cm for a volume of 4.0 cc.
The left thyroid lobe measures    4.4 x 0.9 x 1.2 cm for a volume of 2.5 cc.

Glands are relatively homogeneous in echotexture.  There is one isoechoic nodule demonstrated medial mid right thyroid lobe  0.9  cm in maximal longitudinal diameter.

If this makes sense to anyone, I would appreciate your input.  Thanks!

trendy
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Avatar universal
898
The nodule like this could be watched for 6 month following by the ultrasound [because it is ISOechoic]
the thyroid is of normal size
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168348 tn?1379357075
WOW ... fire him.

C~
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Avatar universal
Actually my PCP has never bothered to even let me know the results of any of my tests!!!  She just thinks I'm fat and lazy!!  I received my info from my cardiologist who told me I needed to follow up with an endo.  I am seeing a doctor at a nearby teaching hospital in Pittsburgh on Sept. 25th.  I hope to find out more then.  I'm tired of napping when I shouldn't need to and gaining weight for no apparent reason.  Thanks for responding.

trendy
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168348 tn?1379357075
Did your PCP suggest a biopsy of the .9cm nodule or wait and re ultrasound in 6 mos?  The cutoff is typically 1.0cm for biopsy, so probably not but was wondering.

The 4.31 could be enough by the new standards of 3.0 cutoff to treat.  What did they suggest?

WELCOME!

C~
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