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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Meaning Of Supraclavicular Lymph Nodes As Shown On Ultrasound?

Hello, my name is Jackie. I went to the doctor for swollen lymph nodes in my neck, near my collar bone. The doctor ordered an US of the thyroid and neck region. The right lobe of the thyroid showed a slightly hypoechoic solid nodule within the superior gland posteriorly measuring 1.3 x 0.9 x 0.9 cm. The left lobe showed a hypoechoic nodule within the mid to superior gland slightly posteriorly measuring 7 x 7 x 3 mm. Rim calcified nodule anteriorly within the lower portion measuring 6 x 4 mm. There is a 3 x 3 x 2 mm hypoechoic nodule within the central left lobe. Survey of the supraclavicular region on the left where there is nodular findings, there are two overly hypoechoic nodules measuring 7 x 7 x 3 mm and 6 x 5 x 2 mm. These are nonspecific but could represent tiny supraclavicular lymph nodes. My primary care physician is on vacation for two weeks. The doctor I saw referred me to an ENT. Should I also make an appointment with an endocrinologist? I m very anxious to get more information regarding the US report, and if I should be scheduling biopsies and other tests to find out exactly what I m dealing with. Any clarification and guidance you can provide would be most appreciated. Thank you.
posted on Wed, 23 Jul 2014
Twitter Mon, 21 Mar 2016 Answered on
Twitter Tue, 22 Mar 2016 Last reviewed on
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Endocrinologist,  's  Response
Hello and welcome to HCM,
From your prescription i understand that you are diagnosed with multinodular goitre, and cervical lymphonodes. The multinodular goitre is a very common pathology in the population.
The next step to do in your case is to measure the thyroid hormones level, in order to see if these nodules are active or not. Scintiscan would be of help too in this case.
Most of your nodules are small (1 cm, with suspicious elements in ultrasound (hypoechoic, irregular borders, microcalcifications ect) and who are cold in scintiscan we do recommend fine needle biopsy aspiration.
About the lateral cervical lymph nodes, there are not enough elements described (their shape, vascularisation ect).
The familiar history is also very important in diagnosing suspicious nodules.
There is also a tumoral marker called thyrocalcitonine that gives important informations for thyroid nodules.
I hope the information will be helpful for you and i am opened to answer any further question.

Best regards,
Dr.Guni
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What Is The Meaning Of Supraclavicular Lymph Nodes As Shown On Ultrasound?

Hello and welcome to HCM, From your prescription i understand that you are diagnosed with multinodular goitre, and cervical lymphonodes. The multinodular goitre is a very common pathology in the population. The next step to do in your case is to measure the thyroid hormones level, in order to see if these nodules are active or not. Scintiscan would be of help too in this case. Most of your nodules are small (1 cm, with suspicious elements in ultrasound (hypoechoic, irregular borders, microcalcifications ect) and who are cold in scintiscan we do recommend fine needle biopsy aspiration. About the lateral cervical lymph nodes, there are not enough elements described (their shape, vascularisation ect). The familiar history is also very important in diagnosing suspicious nodules. There is also a tumoral marker called thyrocalcitonine that gives important informations for thyroid nodules. I hope the information will be helpful for you and i am opened to answer any further question. Best regards, Dr.Guni