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What Does "Normal Size Heterogeneous Gland With 2 Right Sided Nodules" Mean?
Posted on
Tue, 3 Jun 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 3 Jun 2014
Answered on
Mon, 23 Jun 2014
Last reviewed on
Question : I have a question if this report sounds like a thyroid cancer or if it's concerning. Also should a biopsy be considered?
EXAM: Thryoid/Soft Tissue Neck Ultrasound
History: Nodule
Findings: No prior thyroid imaging studies for comparsion. The thyroid gland size appears normal right love 5 cm left lobe 4.7 cm. The gland has a moderately heterogeneous texture bilaterally. There is a cystic nodule medial mid right lobe 9mm diameter and a heterogeneous lower pole right nodule slightly echogenic 16mm.
Impression: Normal size heterogeneous gland with 2 right sided nodules. Since this is a baseline study for this patient consider follow-up study in 4-6 months to assess stability.
EXAM: Thryoid/Soft Tissue Neck Ultrasound
History: Nodule
Findings: No prior thyroid imaging studies for comparsion. The thyroid gland size appears normal right love 5 cm left lobe 4.7 cm. The gland has a moderately heterogeneous texture bilaterally. There is a cystic nodule medial mid right lobe 9mm diameter and a heterogeneous lower pole right nodule slightly echogenic 16mm.
Impression: Normal size heterogeneous gland with 2 right sided nodules. Since this is a baseline study for this patient consider follow-up study in 4-6 months to assess stability.
Brief Answer:
Not suggestive of carcinoma.
Detailed Answer:
Hello dear,welcome to HealthcareMagic forum.
I am Dr Aslam here to help you.
This USG report is suggestive of MULTI NODULAR GOITRE,and nothing to suggest carcinoma thyroid.
With such a report,usually biopsy is not advised.In thyroid nodule,we go for biopsy/FNAC if it is a solitary nodule(here there are two nodules).
Anyhow,need for biopsy can not be determined based solely on the USG report.It also need consideration of the detailed clinical profile.Features favoring a biopsy include pain/recent increase in size/a hard thyroid on palpation/associated lymph node enlargement/family history of thyroid cancer etc.
If there is nothing like these,as the radiologist advised,we just need follow up and a repeat USG after few months if needed.
Hope I have answered your query.If you have further questions,I will be happy to help.
Wishing you good health,Thank you.
Your surgeon will discuss this in detail with you.
Not suggestive of carcinoma.
Detailed Answer:
Hello dear,welcome to HealthcareMagic forum.
I am Dr Aslam here to help you.
This USG report is suggestive of MULTI NODULAR GOITRE,and nothing to suggest carcinoma thyroid.
With such a report,usually biopsy is not advised.In thyroid nodule,we go for biopsy/FNAC if it is a solitary nodule(here there are two nodules).
Anyhow,need for biopsy can not be determined based solely on the USG report.It also need consideration of the detailed clinical profile.Features favoring a biopsy include pain/recent increase in size/a hard thyroid on palpation/associated lymph node enlargement/family history of thyroid cancer etc.
If there is nothing like these,as the radiologist advised,we just need follow up and a repeat USG after few months if needed.
Hope I have answered your query.If you have further questions,I will be happy to help.
Wishing you good health,Thank you.
Your surgeon will discuss this in detail with you.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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