Suggest Treatment For Hypoechoic Nodules

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.

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