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What Does My Thyroid Test Report Indicate?
Question: Need help understanding thyroid sonogram
Findings : greyscale color Doppler images of thyroid demonstrate normal thyroid echo texture measuring 4.1 x 1.8 x1.7 cm on right and 4.8 x1.5 x 1.6cm on left. 3 subcentimeter mildly complex cyst are seen on right measuring up to 4mm. A 1.1 cm left thyroid nodule is seen inferiorly .
Impression 1.1 cm left thyroid nodule
Findings : greyscale color Doppler images of thyroid demonstrate normal thyroid echo texture measuring 4.1 x 1.8 x1.7 cm on right and 4.8 x1.5 x 1.6cm on left. 3 subcentimeter mildly complex cyst are seen on right measuring up to 4mm. A 1.1 cm left thyroid nodule is seen inferiorly .
Impression 1.1 cm left thyroid nodule
Brief Answer:
Thyroid
Detailed Answer:
There is a small lump in your thyroid. They are fairly common. They are a lot more common in women, and as we grow older.The vast majority of these (ie 92 to 95%) are not cancer.
Although the 1.1 cm nodule has not been characterized in detail by the radiologist, it appears to lack any worrisome features.
If you do not have other risk factors for thyroid cancer such as:
Past history of thyroid cancer
Family history of thyroid cancer
Radiation exposure to upper body / head / neck area, such as during radiation treatments for upper body cancers
Compressive symptoms in the neck such as pain. hoarseness or change in voice, difficulty speaking / breathing / swallowing
then current guidelines do not recommend surgical removal. Fine needle aspiration biopsy is an option as is periodic ultrasound monitoring. This decision making depends on a comprehensive in-person assessment.
When I see someone like you who comes to me in my practice with this type of report I order the following tests in addition to a thorough physical examination:
CBC
CMP
TSH
Free T4
If the TSH is normal, then it is fine, otherwise further tests are warranted.
Thyroid
Detailed Answer:
There is a small lump in your thyroid. They are fairly common. They are a lot more common in women, and as we grow older.The vast majority of these (ie 92 to 95%) are not cancer.
Although the 1.1 cm nodule has not been characterized in detail by the radiologist, it appears to lack any worrisome features.
If you do not have other risk factors for thyroid cancer such as:
Past history of thyroid cancer
Family history of thyroid cancer
Radiation exposure to upper body / head / neck area, such as during radiation treatments for upper body cancers
Compressive symptoms in the neck such as pain. hoarseness or change in voice, difficulty speaking / breathing / swallowing
then current guidelines do not recommend surgical removal. Fine needle aspiration biopsy is an option as is periodic ultrasound monitoring. This decision making depends on a comprehensive in-person assessment.
When I see someone like you who comes to me in my practice with this type of report I order the following tests in addition to a thorough physical examination:
CBC
CMP
TSH
Free T4
If the TSH is normal, then it is fine, otherwise further tests are warranted.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your fast response .
Almost 2 years ago I had a mri of my cervical spine done and it stated: A T2 hyperintense lesion is identified in the left thyroid lobe measuring 4.6 mm. The mri examination date and report date was Oct. 14, 2013. I had a TSH done on XXXXXXX 6,2015 result 1.720 with .045-4.500 uIU/ ml with is normal. Is this increase in size a cause for concern. The sonogram results I posted earlier were dictated on XXXXXXX 18, 2015 this year.
Almost 2 years ago I had a mri of my cervical spine done and it stated: A T2 hyperintense lesion is identified in the left thyroid lobe measuring 4.6 mm. The mri examination date and report date was Oct. 14, 2013. I had a TSH done on XXXXXXX 6,2015 result 1.720 with .045-4.500 uIU/ ml with is normal. Is this increase in size a cause for concern. The sonogram results I posted earlier were dictated on XXXXXXX 18, 2015 this year.
Brief Answer:
Follow up
Detailed Answer:
I follow what you are saying.
However one cannot be certain that the nodule measured at 4.6 mm in the left lobe in 2013 on MRI is the same one that has increased to 1.1 cm in 2015 on ultrasound.
Ultrasound is typically the best way to study thyroid nodules. So a valid comparison of precise sizes is best done on ultrasound only.
Follow up
Detailed Answer:
I follow what you are saying.
However one cannot be certain that the nodule measured at 4.6 mm in the left lobe in 2013 on MRI is the same one that has increased to 1.1 cm in 2015 on ultrasound.
Ultrasound is typically the best way to study thyroid nodules. So a valid comparison of precise sizes is best done on ultrasound only.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
ThankYou
Brief Answer:
Second follow up
Detailed Answer:
Best wishes for good health
Second follow up
Detailed Answer:
Best wishes for good health
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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