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What does all this mean on my ultra sound for my thyroid?
Here is are my results now mind you I am more concerned about the lymph node then I am my only thyroid I have left, however I am worried.
Right Lobe: Surgically absent. No evidence of recurrent tissue or mass in the thyroidectomy bed
Left lobe: The left lobe of the thyroid gland measures 5.6 x 2.5 x 1.9 cm. Previously visualized 4 mm hypoechoic superior nodule is not discretely visible today. In the anterior interpolar lobe is a 4 x 3 x 2 mm hypoechoic wider than tall noncalcified
nodule. In the central interpolar lobe is a 2 x 1 mm hypoechoic noncalcified nodule. Inferior medial septated anechoic cyst overall measuring 4 x 4 x 3 mm. These are new since the previous. Remaining heterogeneous echotexture appears stable.
Isthmus measures 1.9 mm.
Small 11 x 4 mm reactive lymph node with fatty hilum in the right submandibular space adjacent to the submandibular gland.
Right Lobe: Surgically absent. No evidence of recurrent tissue or mass in the thyroidectomy bed
Left lobe: The left lobe of the thyroid gland measures 5.6 x 2.5 x 1.9 cm. Previously visualized 4 mm hypoechoic superior nodule is not discretely visible today. In the anterior interpolar lobe is a 4 x 3 x 2 mm hypoechoic wider than tall noncalcified
nodule. In the central interpolar lobe is a 2 x 1 mm hypoechoic noncalcified nodule. Inferior medial septated anechoic cyst overall measuring 4 x 4 x 3 mm. These are new since the previous. Remaining heterogeneous echotexture appears stable.
Isthmus measures 1.9 mm.
Small 11 x 4 mm reactive lymph node with fatty hilum in the right submandibular space adjacent to the submandibular gland.
I found this info online from Dr Dezube (Harvard Medical School)...
"Health care professionals, including myself, use the word "reactive" frequently. A "reactive" lymph node is one which is enlarged because it is trying to fight off an infection. The truth is that the only way for one to really know if a lymph node is reactive (enlarging as it's fighting off an infection) or malignant is to biopsy the lymph node. That said, radiologists as well as clinicians see lymph nodes day in and day out. After a while, we get a sense of which lymph nodes are worrisome and which are not. On CT scans, we seldom get excited about lymph nodes less than 1 cm."
"Health care professionals, including myself, use the word "reactive" frequently. A "reactive" lymph node is one which is enlarged because it is trying to fight off an infection. The truth is that the only way for one to really know if a lymph node is reactive (enlarging as it's fighting off an infection) or malignant is to biopsy the lymph node. That said, radiologists as well as clinicians see lymph nodes day in and day out. After a while, we get a sense of which lymph nodes are worrisome and which are not. On CT scans, we seldom get excited about lymph nodes less than 1 cm."
1 Comments
I saw new ENT yesterday, he is ordering an mri with contrast because he wants to see behind the lymph node since my blood work is good and I have not been sick in three years, so he said it is reacting to some infection. No one listened to me the first time back in 2013 when I kept saying it was my thyroid, until they saw they mass that was a size of a small egg pushing into my vocal cords and my blood work was all normal at that time too. I appreciate the information :)
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