What Does The Following Ultrasound Report While On Thyronorm Indicate?

Posted on Tue, 14 Mar 2017

Question: Hi Doctor,
i have hypothyroid since 12 years. Taking 100mcg thyronorm. Doctor asked me to got for USG. Iam attaching the report with this. I have cysts and nodules..Can you please suggest me that if everything is fine or something is serious?
6-7 years back endo also said i have insulin resistence hence im taking glycomet 500 BD daily.
Please help
XXXX

Answered by Dr. Dr. Abhay A Mali (20 hours later)

Brief Answer:
USG Findings most likely benign.

Detailed Answer:
Hi,

Thanks for your question.
Noted your concern.

Whatever the ultrasound findings suggest benign nature. It means there is very low chance of malignancy (cancer).
But Ultrasound guided FNAC (Fine Needle Aspiration Cytology) may be suggested.
One should keep constant watch on sudden increase in size of gland, appearance of area of hardness.

You should consult endocrinologist for detailed physical examination.
Depending upon it further evaluation if any needed can be planned.

As there is presence of insulin resistance one should check Fasting and post-prandial blood sugar levels regularly along with HbA1c once in 4 to 6 month.

Hope this helps you.

Regards,
Dr. Abhay Mali.
Diabetologist.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Abhay A Mali (2 days later)

Hello Dpctor,
I went for FNAC but they said that its very small hence FNAC cant be done. They tried it under USG guidance as well.

Now, what should I do? Any medicines by which this can be dissolved? Anything to nourish this?

Iam a bit concerned now.
Thanks
XXXX

Answered by Dr. Dr. Abhay A Mali (10 hours later)

Brief Answer:
Keep regular follow up with your endocrinologist.

Detailed Answer:
As nodules size is small chances of malignancy are rare.
But keep watch on increase in size of gland any abnormal swellings in neck. Keep regular follow ups with your treating endocrinologist.

As such there are no medicine to decrease size except thyroid hormone supplement.
But even thyroid hormone supplement may not help in complete resolution in most of cases of multinodular goiter.

So don't be panic. Follow your treating endocrinologist.

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Prasad