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Suggest Treatment For Hypoechoic Nodules

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Posted on Thu, 30 Apr 2015
Question:


I just received my results from a ultrasound of my enlarged thyroid and 3 of the 4 nodules are solid but one is 3.2x2.4x1.6 solid, hypoechoic, lobulated, horizontal,capsular greaterthen central flow, course calcifications. what does this mean.
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Answered by Dr. Binu Parameswaran Pillai (53 minutes later)
Brief Answer:
Hypoechoic nodule with central blood flow need FNA.

Detailed Answer:
Good day,
Noted your concern.
The ultraosund showed multiple nodules and the described nodule is large with calcifications and central blood flow. This nodule surely need a needle biospy. However, other nodules which are more than 1 cm also need needle biopsy.

Sorry, but let me put it in a more clear way. Calcifications, central blood flow, hypoechoic nature are all suspicous of malignancy and such nodules surely need an FNA.

Regards
Binu


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1438 Questions

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Suggest Treatment For Hypoechoic Nodules

Brief Answer: Hypoechoic nodule with central blood flow need FNA. Detailed Answer: Good day, Noted your concern. The ultraosund showed multiple nodules and the described nodule is large with calcifications and central blood flow. This nodule surely need a needle biospy. However, other nodules which are more than 1 cm also need needle biopsy. Sorry, but let me put it in a more clear way. Calcifications, central blood flow, hypoechoic nature are all suspicous of malignancy and such nodules surely need an FNA. Regards Binu