Question: Hi I have been very sick for over a year. Symptoms include painful swollen lymph nodes on neck and throat. I have horrible pain in my back and shoulder blades. A CT scan was conducted and said I had a goiter and lymph nodes. It reported reactive lymph nodes with in the anterior and posterior cervical chain bilaterally. mild thyromegaly. Also indicating multinodule goiters. The radiologist suggested fine needle aspiration and NM Thyroid imaging with uptake and sonogram. NM results reported poor uptake of radiotracer in the thyroid gland which measured only 1.7%. Impression reported Hypothyrodism and findings of subacute granulomatous thyroiditis or Hashimoto's Disease. Ultra Sound reported innumerable hypoechoic micronodules (1 to 6mm) with surrounding echogenic septations. Englarged reactive cervical level 2 and 4 lymph nodes with benign sonographic features. Impression: Subacute granulomatous thyroiditis. Report states Subacute granulomatous thyroiditis versus Hashimoto's thyroiditis, Subacute is painful Hashimoto's thyroiditis is not. I saw a surgeon and he reported no biopsy was needed. I do have an appointment with an endocrinologist next week. I am 36 years old approximately 5 ft 4 inches. When I was 11 I was diagnosed Mono and then tested positive for Epstein Barr virus. I have cuts that will not heal. I went through this last year and was told nothing was wrong with me. I went from weighing 135lbs to 109 lbs. I was advised to go to the ER. I was in the ER for five times last year. In two months time I weighed 136lbs. Now I am told to go the ER all time. I currently weigh 124lbs. I am irritable confused forgetful and in so much pain I can barely stand it. I don't understand whats going on with me. T4 1.46. T3 Free 3.70. TSH 0.11. Resting pulse 98. Mild fevers. Do you have any advice? Radiology said to get biopsy surgeon said I didn't need one. What does the above described symptoms indicate to you. Please help me.

Thank you for your answer. I'm Currently am in so much pain and feel like I have flu/mono but test say hyperthyroidism and I sho have energy but I don't. I want to go urgent care but idk if they can do anything for me. My goiter is very painful and hard to swallow. I feel so very sick. My whole body hurts. My ears and throat feel like knives going in them