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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Few Ill Defined Hypoechoic Nodules Mean?

i m ving right lobe size41x17x20 MM left lobe size 43x18x22MM.. both lobe size diffuselyhypoechoic and hetrogenous echotexture with few ill defined hypoechoic nodules. isthmus is 4 MM thick.no retrosternal extension of thyroid.Major cervical blood vesseles are normal in position and caliber....impression...Mild thyromegaly with features of thyroditis....tSH 0.01...T3 NORMAL..T4 NORMAL
posted on Tue, 25 Mar 2014
Twitter Wed, 26 Mar 2014 Answered on
Twitter Thu, 27 Mar 2014 Last reviewed on
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Endocrinologist,  's  Response
Hello,
Good day,
There are multiple hypoechoic nodules in your thyroid. Your TSH is low as well. Are you on Thyroxine tablets? If not, then the next step is to meet an endocrinologist and arrange for a nuclear scan ( Tc uptake scan). This will pick up if any of the nodules are hyperactive or if any nodules are hypoactive ( cold nodule). If you have a cold nodule, then you will need a needle test (FNAC) from cold nodule. Noted that you have 4 cm ( 40 mm ) sized nodules. They are fairly big. Any hypoechoic nodule > 1 cm should be subjected to needle test. Please meet an endocrinologist. He will guide you
Regards
Binu
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What Does Few Ill Defined Hypoechoic Nodules Mean?

Hello, Good day, There are multiple hypoechoic nodules in your thyroid. Your TSH is low as well. Are you on Thyroxine tablets? If not, then the next step is to meet an endocrinologist and arrange for a nuclear scan ( Tc uptake scan). This will pick up if any of the nodules are hyperactive or if any nodules are hypoactive ( cold nodule). If you have a cold nodule, then you will need a needle test (FNAC) from cold nodule. Noted that you have 4 cm ( 40 mm ) sized nodules. They are fairly big. Any hypoechoic nodule 1 cm should be subjected to needle test. Please meet an endocrinologist. He will guide you Regards Binu