Hello,
I am a 20 year old female with a history of hypothyroidism. I noticed a nodule in the lower part of my neck upon palpation. After bringing this to my primary care physician's attention, I was sent for an ultrasound. The results were:
normal appearing left and right lobe of the thyroid and hypoechoic solid nodule inferior and slightly posterior to the left lobe of the thyroid. It measured 0.75 cm x 0.61 cm. Color doppler was unremarkable. The radiologist stated it could be an exophytic thyroid nodule or parathyroid adenoma.
I then had blood work. The results for PTH and Calcium were completely normal. TSH was low (0.03) and my Endocrinologist readjusted my Levoxyl dosage.
My PCP then sent me for a CT Scan. In summary, subtle nodular lesions were found posterior and inferior to the left lobe of the thyroid. This may be a single bilobular lesion. Possibility of parathyroid adenoma should be considered. (This was performed before the bloodwork results came back normal). No large lymphadenopathy was noted. Submental lymph nodes were a few millimeters and thought to be inflammatory in nature.
Now here's the problem:
The PCP is concerned.
The Endocrinologist is laughing that I'm even considering moving forward with testing.
The ENT says he doesn't think what I'm feeling is what is seen on the images (since the nodule(s) is posterior and I'm feeling it anteriorly) but that he's going to perform another ultrasound and FNA if he finds something. He basically blew off the images because they were "small".
Any input on all this would be greatly appreciated. Should I be concerned? Is it a waste of time to go through add'l testing?