thyroid ultrasond report below.....please please give some insights !!

[farddd]

I'm 40
Had problem in my throat for few months
my general doctor suggested throid testing
my report reads as follows
please experts throw u r light
I'm very scared ......please please help and give some view of my report please tell me is there something serious


Ultrasound of thyroid
Both lobe and isthmus of gland appeared enlarged in size with coarse echotexture
Volume of right lobe 31.36 ml
Volume of left lobe 26.42 ml
Evidence of multiple solid nodules noted in both the lobes and isthmus of the gland
Biggest nodule measuring over 2.35*1.66 cms noted in mid pole of left lobe
No evidence of calcification
The entire thyroid gland moves freely during deglutition
No evidence of cervical adenopathy
Adjacent cervical neck vessel appears normal
Trachea is in the middle

Impression
Multinodular goitre
Features suggestive of benign adenomatous nodules

[898_1]

The needle most likely penetrated miinor blood vessel ice pack (cold application) should work)

[goolarra]

What are the reference ranges on your FT3 and FT4?  Ranges vary lab to lab, so they have to come from your own lab report.  Also, what is "Tm."  And is that TGab (thyroglobulin antibodies)?

Did he tell you to apply hot/cold water?  

[farddd]

The doctor said it was low thyroid or somerhing
due to fna the region of my neck seems swolen n painful....is appying hot / cold water necessary ???

Tnkq

[farddd]

Free t3.  1.62
Free t4.     0.77
Tsh.         8.84

Tm.  307
Tg.     608

Fna report to come in 2 days itseems

[goolarra]

It sounds like you are hypothyroid.  Ask your doctor to run those tests I suggested.  He'll put you on some thyroid medication, and you will feel better.  

It's not just age.  Though Hashi's gets more common as we age, children, teenagers and even babies get it.

[farddd]

Yes from the past 5 ~ 10. years i gained weight
In addition
    fatigue , depression , anxiety was common in addition to hair loss
i neglected it thinking that it had something to do with my progressive age

thanks again !

[goolarra]

Yes, benign means that they are most likely not cancerous.  Typically, any nodule bigger than 1 cm is biopsied (FNA) just to be sure.  However, your ultrasound report indicates that the nodules appeared benign and didn't show any of the characteristics of cancerous nodules.  Your doctor will want to do the FNA most likely anyway.    

[farddd]

My ultrasound suggests of successive bengin nodules
so does it means that it is non cancerous !!

Thanks a ton both of u
somewhat relieved
thanks again

[goolarra]

I should have added intolerance to cold to that list as well as hair loss.  

[goolarra]

As Gibbon1 said, you can have thyroid antibodies for years, or even decades, before they cause enough damage to make your labs go out of range and/or to cause symptoms.

Your doctor should now test your FREE T3, FREE T4 and TSH.  Make sure all of those are tested, and make sure that they order the FREE T3 and T4 tests.  There are two other tests called total T3 and total T4.  If FREE isn't specified, you will get total, and they are not nearly as good.

TPOab (thyroid peroxidase antibodies) and TGab (thyroglobulin antibodies) are the two markers for Hashi's.  You have to have both tested as some of us are positive for one, some the other and some both.

Aside from bulging in the thyroid, you have no symptoms?  Fatigue, unexplained weight gain or inability to lose weight, constipation, depression, anxiety, fatigue and/or drowsiness, etc?  

[Gibbon1]

I'd agree with goolarra, what you're in for is just a pain in the *** t most, not life threatening.

When the lab reports says your thyroid has coarse echotexture, it means it looks like hamburger rather than smooth pate. Normal thyroid tissue is smooth. Usually rough texture means autoimmune disease. (Usually Hashimoto's disease)

I'd expect the doctor to recommend, FNA biopsy of the large nodules, which is not a big deal.  And thyroid hormone and antibody tests.

What happens next depends on the lab results. If the FNA come back benign, then you nodules can be just watched. If the blood tests show hypothyroid then hormone replacement meds would be indicated.

PS: I think people can have autoimmune thyroid disease for years before symptoms show up.

[farddd]

No just occasional slight bulging of the gland and nothing else
And sometimes pain slightly

[goolarra]

I hope someone with more technical expertise than I will be on soon to give you a more detailed evaluation, but just to reassure you quickly, you have what is called a multinodular goiter, which is very common with thyroid disease.  It indicates that you could have a thyroid disease, most likely Hashimoto's thyroiditis.  Hashi's is the most common cause of hypothyroidism in the developed world.  I used to have a multinodular goiter until Hashi's advanced and my thyroid began to atrophy.  You are NOT dying!

How do you feel?  Do you have symptoms?  Have you had thyroid blood work?