Ultrasound Findings - Questions Regarding Results

[PinkistButterfly]

I had a CT scan on the 11th on my chest, which by fluke caught part of my neck.  The radiologist noted a nodule which indicated the need to be followed up via ultrasound.  My doctor called and stated that I had a nodule, as the CT suggested and today I got the report.  
It reads as follows:
Rt thyroid gland has normal echogenicity, and provides the measurements. (I get that, it's normal)
Lt thyroid glad has mostly normal echogenicity, provides the measurements.  It then states: There is a mid somewhat hypoechoic vascular nodule measuring 1.8x1x1.7 cm.
Isthmus has normal echogenicity, and provides measurement.  
Impression:
Solitary left thyroid nodule.  This type of nodule could suggest malignancy.  If clinical indicated, ultrasound guided biopsy could be performed.

What exactly does that mean?  The nodule/lump/bump/whatever is a brighter white,if so does that mean solid or not cystic in nature?  Also, what indicates it could suggest malignancy, as I was under the impression nearly 95% of all nodules are benign.  

I'm trying to figure out the importance of the endocrinology appointment, as I also have Myasthenia Gravis and am in need of a thymectomy and go in for my surgical consultation on the 13th.  My neurologist states that the most important issues is the MG and treating it currently.  Would you agree to have the MG treated before visiting an endocrinologist to determine whether this is cancerous?

[PinkistButterfly]

It just said it was a mid somewhat hypoechoic vascular nodule measuring 1.8x1x1.7 cm.  Not sure if that's what you mean by vascularity?  
I have an appointment on the 14th (they only do biopsies on Thursdays) since I was unable to go today to have a biopsy.  She said it only takes about 30 minutes including prep time and I can drive myself home.  So I'll have the hubby watch the kids and go take care of this then - another appointment to add to all of my others (haha).

[PinkistButterfly]

No, I mean a removal of my thymus (between heart and lungs) due to thymic hyperplasia or thymoma.  If there are any irregularities in the thymus with Myasthenia Gravis (which is a condition I have) it is normally removed and can sometimes cause one with MG to go into remission (this is the hope).  The surgeon I am seeing is a cardiothorasic surgeon, but with the thyroid I assume this isn't the type of doctor to see for a thyroid problem?  
Since mine is over a cm, I guess that means a FNA would be ordered - can I drive myself home after that?  Or do I have to have someone drive me?  Thank you all for the help.

[898_1]

The imaging can never be used to diagnose cancer; the nodules over 1 cm with internal blood flow should be evaluated by biopsy procedure

[MANmom]

Did you mean thyroidectomy?  I am not familiar with the term thymectomy. If you are having the thyroid taken out, they can test it then, no need for an FNA.  If you are not having a thyroidectomy, then it should be tested at least with a FNA biopsy. Solid nodules are more often cancerous, but again, the chances are only 5-15%.  Did they say anything about vascularity on Doplar?  If it has vascularity the chances increase to 20%.  It probably is not cancer, but you must get tested.

[stella5349]

Texture and appearance can "sometimes" mean more test (as an FNA) would be considered on this type of finding.

I'm wondering however that it would be best to talk with the on the 13th about this. Even bring your report to that office.

I believe this doctor would have the best follow up answer for you on what to do. It sounds like a removal of the thyroid is taking place soon so this issue may also be taken care of at that time.