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Can This Be Cancer? Report THYROID ULTRASOUND History: Nodules Sonographic
Question: Can this be cancer?
Report
THYROID ULTRASOUND
History: Nodules
Sonographic evaluation was performed with images obtained in transverse and longitudinal
planes.
No prior thyroid sonograms are available for comparison.
The thyroid gland is not enlarged in size. The right thyroid lobe measures 4.4 x 2.0 x
1.8 cms. The left thyroid lobe measures 4.3 x 1.5 x 1.8 cms. The isthmus measure 0.30
cms in AP dimension.
There is a homogeneous appearance to the echotexture of the thyroid gland. No discrete
nodules or focal abnormalities are identified.
Sonographic images of the right lateral neck demonstrates an enlarged heterogeneous level
4 lymph node with absence of the normally seen central fatty hilum measuring 3.2 x 1.0 x
1.5 cm. An enlarged left lateral neck level 2 lymph node of unremarkable configuration and
morphology is also noted measuring 3.2 x 0.9 x 1.1 cm.
IMPRESSION:
Normal thyroid gland.
Enlarged abnormal appearing right lateral neck level 4 lymph node measuring 3.2 x 1.0 x
1.5 cm. Clinical correlation and follow-up is recommended..
Report
THYROID ULTRASOUND
History: Nodules
Sonographic evaluation was performed with images obtained in transverse and longitudinal
planes.
No prior thyroid sonograms are available for comparison.
The thyroid gland is not enlarged in size. The right thyroid lobe measures 4.4 x 2.0 x
1.8 cms. The left thyroid lobe measures 4.3 x 1.5 x 1.8 cms. The isthmus measure 0.30
cms in AP dimension.
There is a homogeneous appearance to the echotexture of the thyroid gland. No discrete
nodules or focal abnormalities are identified.
Sonographic images of the right lateral neck demonstrates an enlarged heterogeneous level
4 lymph node with absence of the normally seen central fatty hilum measuring 3.2 x 1.0 x
1.5 cm. An enlarged left lateral neck level 2 lymph node of unremarkable configuration and
morphology is also noted measuring 3.2 x 0.9 x 1.1 cm.
IMPRESSION:
Normal thyroid gland.
Enlarged abnormal appearing right lateral neck level 4 lymph node measuring 3.2 x 1.0 x
1.5 cm. Clinical correlation and follow-up is recommended..
I am still waiting for an answer please
Brief Answer:
Need to rule out lymphoma
Detailed Answer:
Hi
thanks for your query.
The thyroid gland is normal on the report. But there's a lymph gland in neck which is quite big, 3.2 cm and the fatty hilum is lost, which is a marker for abnormal node.
But this is no way confirms cancer. A Fine needle aspiration cytology or FNAC is required for diagnosis. It may very well turn out to be not cancer.
Hope this helps.
Regards
Need to rule out lymphoma
Detailed Answer:
Hi
thanks for your query.
The thyroid gland is normal on the report. But there's a lymph gland in neck which is quite big, 3.2 cm and the fatty hilum is lost, which is a marker for abnormal node.
But this is no way confirms cancer. A Fine needle aspiration cytology or FNAC is required for diagnosis. It may very well turn out to be not cancer.
Hope this helps.
Regards
Above answer was peer-reviewed by :
Dr. Raju A.T
I saw my family doctor yesterday and she was not able to fell either lymph nodes and she said a node that big should be able to be felt. Is this true? She also had another doctor come in to feel for them as well and he wasn't able to find them.
Brief Answer:
This is highly unusual
Detailed Answer:
In that case I would recommend either another ultrasound by a different operator or get it by same operator but having the clinician also look at it at the time of doing (possible only in same institution).
Sometimes reactive nodes reduce over time and get impalpable. But there is probably no time lag between the test and clinical examination in this case.
I would also like to know why this test was done and symptoms, if any.
Regards
This is highly unusual
Detailed Answer:
In that case I would recommend either another ultrasound by a different operator or get it by same operator but having the clinician also look at it at the time of doing (possible only in same institution).
Sometimes reactive nodes reduce over time and get impalpable. But there is probably no time lag between the test and clinical examination in this case.
I would also like to know why this test was done and symptoms, if any.
Regards
Above answer was peer-reviewed by :
Dr. Nagamani Ng
I had a thyroid ultrasound done 5 years ago which showed benign nodules on thyroid. I recently switched doctor and she wanted me to redo the thyroid ultrasound before being put on saxsenda. It was an accidental finding. I have no symptoms. I feel completely fine.
Brief Answer:
Most likely not significant then
Detailed Answer:
Considering the clinical scenario, you should be fine. Try to get another ultrasound by a different operator, just for confirmation.
Regards
Most likely not significant then
Detailed Answer:
Considering the clinical scenario, you should be fine. Try to get another ultrasound by a different operator, just for confirmation.
Regards
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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