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What Does My Ultrasound Scan Report Indicate?

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Posted on Tue, 5 Sep 2017
Question: My first symptom was with dysphagia, which led to learning that something was compressing my esophagus. Here is information from the ultrasound of my neck. I see my doctor next week and am a little nervous. My overall TSH level is 0.91.

From the attached report:
<<<heterogeneous with cystic degeneration throughout. There is a dominant anechoic
nodule with internal septation and peripheral vascularity that measures 1.7 x 1.9 x 2.2
cm in the inferior right lobe of the thyroid. This is suggestive of colloid cyst. The left lobe of the thyroid is absent. There is a hypodense focus in the left thyroid bed that most likely represents a lymph node with normal fatty hilum that measures 0.4 x 0.4 x 0.8 cm. No vascularity noted. >>>>

My left thyroid lobe is missing??? And what does it mean for the thyroid to be diffusely heterogeneous with cystic degeneration? Will I need a biopsy? What might this indicate?
Was diagnosed with eosinophillic esophagitis during this process
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
A colloid cyst of thyroid is not uncommon

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. The left lobe of the thyroid has been supposedly absent since birth. It is a developmental variation that can sometimes happen and you need not be concerned about the same. However, congenital anomalies usually do not occur singly and could therefore have some correlation with the other variations that have been observed.

Biopsy is done in case a definite diagnosis needs to be made. In other words, if the doctors feels that there is a significance of ruling out a cancerous cause, you might need to undergo a biopsy. The biopsy could indicate a simple colloid cyst of the thyroid or could indicate some other histological cause.

Let me know if I could help further.

Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Does My Ultrasound Scan Report Indicate?

Brief Answer: A colloid cyst of thyroid is not uncommon Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through your query and understand your concerns. The left lobe of the thyroid has been supposedly absent since birth. It is a developmental variation that can sometimes happen and you need not be concerned about the same. However, congenital anomalies usually do not occur singly and could therefore have some correlation with the other variations that have been observed. Biopsy is done in case a definite diagnosis needs to be made. In other words, if the doctors feels that there is a significance of ruling out a cancerous cause, you might need to undergo a biopsy. The biopsy could indicate a simple colloid cyst of the thyroid or could indicate some other histological cause. Let me know if I could help further. Regards