
Suggest Treatment For Hyperthyroidism

Question: Hi, I have very recently been diagnosed with hyperthyroid and just picked up the results of the thyroid ultrsound and the nuclear medicine test. I had a previous thyroid ultrasound done 1 1/2 years ago and have compared them. My previous one said that my right lobe was 3.9 x 1.6 x 1.1 cm and my left lobe was 4.1 x 1.5 x 1.1 cm. There is a dominant hetrogeneous dominately hypoechoic nodule in the mid pole of the right lobe measuring 9.0 x 6.0 mm and that there are 2 additional small nodules in the lower role of the right lobe of each measuring about 6 mm and that there is also a dominant hypoechoic nodule in the mid pole of the left lobe measuring about 6 mm. It said that the findings were most likely related to multinodular goiter and it was recommended that I have another study done in 6 months (my Dr never told me to do a follow-up and only now did he do the new tests
due to my blood levels being so out of whack).The current report said that my right lobe is 4.3 x 1.6 x 1.1 cm with a 9 mm well circumscribed homogeneous nodular lower pole and that the left pole now measures 4.3 x 1.2 x 1.5 cm and that the isthmus measures 4.3 x 1.2 x 1.5 cm. It also stated that gland has an overall heterogeneous appearance and the impression said, 9 mm well circumscribed homogeneous nodule lower pole right lobe of the thyroid gland. I appreciate any imput you may have, because I go back to my primary Dr tomorrow and expect to be referred to an Endocrinologist and from what I've been told, it can take months to get a first appointment. My symptons also run the gammer and I just want to know what to expect or any suggsstions you may have for me. Thank you. XXXXXXX in Florida
due to my blood levels being so out of whack).The current report said that my right lobe is 4.3 x 1.6 x 1.1 cm with a 9 mm well circumscribed homogeneous nodular lower pole and that the left pole now measures 4.3 x 1.2 x 1.5 cm and that the isthmus measures 4.3 x 1.2 x 1.5 cm. It also stated that gland has an overall heterogeneous appearance and the impression said, 9 mm well circumscribed homogeneous nodule lower pole right lobe of the thyroid gland. I appreciate any imput you may have, because I go back to my primary Dr tomorrow and expect to be referred to an Endocrinologist and from what I've been told, it can take months to get a first appointment. My symptons also run the gammer and I just want to know what to expect or any suggsstions you may have for me. Thank you. XXXXXXX in Florida
Brief Answer:
Thyroiditis with nodules
Detailed Answer:
Good day,
Noted your concerns.
The overall picture of the ultrasound shows features of possible thyroiditis ( inflammation of thyroid) with multinodular goiter. Over a period of time, some the nodules have disappeared and only one is left which is 9 mm and homogenous. This sounds like a benign lesion and dosent need a needle test ( FNA) unless it grows to more than 1 cm in size.
I was wondering if you could attach the ultrasound and nuclear scan reports and the thyroid fuction tests. That will give further insight about your thyroid problem.
Regards
Binu
Thyroiditis with nodules
Detailed Answer:
Good day,
Noted your concerns.
The overall picture of the ultrasound shows features of possible thyroiditis ( inflammation of thyroid) with multinodular goiter. Over a period of time, some the nodules have disappeared and only one is left which is 9 mm and homogenous. This sounds like a benign lesion and dosent need a needle test ( FNA) unless it grows to more than 1 cm in size.
I was wondering if you could attach the ultrasound and nuclear scan reports and the thyroid fuction tests. That will give further insight about your thyroid problem.
Regards
Binu
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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