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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does this thyroid Ultrasound Result Mean?

Cause for concern? Findings from a thyroid ultrasound. Sonographic examination thyroid gland performed. right thyroid lobe measures 4.2x1.2x1.5cm and demonstrates solitary cystic lesions in the inferior pole measuring 7 by 4 x 8 mm without evidence of internal vascularity. Thyroid isthmus within normal limits for thickness at 3mm. Left thyroid lobe measures 4.7x1.9x1.8 cm and demonstrates 3 nodules. The dominant nodule is located in the midportion and demonstrates mild hypoechoic echogenisity with a curcumscribed margin and no significant increased vascularity, measuring 2.8x1.8x1.5cm. Adjacent to this nodule is a more hyperechoic, peripherally calcified nodule measuring 1.0x0.8x0.8cm. There is a hypoechoic cirumscribed nodule also present in the upper pole measuring 0.8x0.8x0.7 cm without internal vascularity. No evidence of cervical adenopathy. bylateral thyroid nodule as decribed. Dominant nodule is located in the left midportion, measuring 2.8cm.
Fri, 4 Mar 2016
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General & Family Physician 's  Response
Brief Answer:
Most likely multinodular goiter requiring thyroid function tests and FNAC (fine needle aspiration cytology).

Detailed Answer:
Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.

I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.

Based on your report, you are most likely having multinodular goiter. Two things are needed to be determined in your case:

•     Whether this goiter is toxic or non-toxic based on their hormone producing activity.
•     Whether this goiter is benign or has any cancerous changes. This should be your concern because of size and multiple nodules, there is about 15% chance to be malignant.

You are advised to do thyroid function test and a FNAC (fine needle aspiration cytology) test to determine above points I mentioned. Once the definitive diagnosis is made based on tests, a detailed treatment plan will be devised for you which also include surgery.

Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow up to see how you doing.

Regards!
Dr. Ali Raza
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What Does this thyroid Ultrasound Result Mean?

Brief Answer: Most likely multinodular goiter requiring thyroid function tests and FNAC (fine needle aspiration cytology). Detailed Answer: Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services. I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems. Based on your report, you are most likely having multinodular goiter. Two things are needed to be determined in your case: • Whether this goiter is toxic or non-toxic based on their hormone producing activity. • Whether this goiter is benign or has any cancerous changes. This should be your concern because of size and multiple nodules, there is about 15% chance to be malignant. You are advised to do thyroid function test and a FNAC (fine needle aspiration cytology) test to determine above points I mentioned. Once the definitive diagnosis is made based on tests, a detailed treatment plan will be devised for you which also include surgery. Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow up to see how you doing. Regards! Dr. Ali Raza