ultrasound of the thyroid gland

[Rose1771]

pls explain:

impresiion:
right thyromegaly with bilateral nodulkes;as described;sugges endocrinologic consult and fol;low up for further evaluation:

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the rt thyroid is slightly enlarged measuring 5.4x2.0x2.0cm while the left thyroid is normal in size measuring 4.8x1.7x1.4 cm.

multiple nodules are noted bilaterally with the ff locations,char n measurements:

rt lobe:

upper pole - complex,predominantly solid with calcifications 1.7x1.7x1.2cm
mid segment well defined, anechoic 0.89x0.81x0.72 cm
mid segment fairly defined, hypoechoic 0.98x0.64x0.61cm
lower pole well defined, hypoechoic 1.8x1.6x1.3 cm

left lobe
upper pole well defined,cystic anechoic 0.36x0.3x0.16cm
upper pole well defined,cystic anechoic 0.18x0.15x0.1 cm

the isthmus is norml in appearance and measures 0.25 cm

----------------------------------------- WHAT DOES THIS MEAN? -----------------------------
FREE T4 ELFA 20.28
3RD GEN TSH ELFA 1.262

[fanofthefab4]

I really wish you would read and respond to my posts about my recent follow up ultrasound I had on thursday after 9 months!

[898]

Most likely, you will be scheduled for biopsy of the nodules in right lobe for the following reasons:
2 nodules are more then 1 cm in size;
1 nodule is complex;
2 nodules are hypoechoic.
Make request that the biopsy will be ultrasound assisted as the complex nodule otherwise may produce "inconclusive" result
If the biopsy will be "benign", and nodules are not causing any problems, you may follow up (wait and watch) in 6 months