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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Ultrasound Scan Report Indicate?

my daughter had her ultrasound the result is she hashypoechoic solid nodule with hypoechoic margin in the right side of the isthmus the impression is hypervascular solid nodule in the isthmus what does it mean?is it likely she has cancer?im her mother i removed my all thyroid gland 2years ago due to pappilary carcimona
Mon, 9 Nov 2015
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
The ultrasound of the neck is showing presence of a solid lesion which has high blood flow and this lesion is described to be on right side of isthmus.
However, if the entire thyroid gland is removed there should be no isthmus left behind.
If isthmus is present then it means that the thyroid is not completely removed and this lesion could actually be a recurrence of papillary carcinoma.
However, this is just one possibility.
Further investigations are required to know the nature of the nodule.
A guided aspiration will help to determine the nature of lesion and thus plan further management.

Thanks and take care
Dr Shailja Puri
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Radiologist Dr. Elijah Kwasa's  Response
Hello,

Unfortunately with the information provided, one cannot say whether or not it is cancer. Majority of nodules in the thyroid are benign (NOT cancer). However, to be safe, I would advise you to get a procedure called an ultrasound-guided thyroid fine needle aspiration. This will provide cells from the nodule which when viewed in the lab will tell us for sure what the nodule is.

All the best.
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What Does My Ultrasound Scan Report Indicate?

Hello and welcome to HCM, The ultrasound of the neck is showing presence of a solid lesion which has high blood flow and this lesion is described to be on right side of isthmus. However, if the entire thyroid gland is removed there should be no isthmus left behind. If isthmus is present then it means that the thyroid is not completely removed and this lesion could actually be a recurrence of papillary carcinoma. However, this is just one possibility. Further investigations are required to know the nature of the nodule. A guided aspiration will help to determine the nature of lesion and thus plan further management. Thanks and take care Dr Shailja Puri