hi, y'all --
just got back from endo's - i have hypothyroid and have been treated for a few years w/synthroid. my daughter, however, is hyperthyroid and we just got back her labs and ultrasound results. i need a bit of guidance as her doctor didn't feel further testing on her thyroid was necessary after reading her ultrasound report, but i am feeling like she may? any advice will be taken with a grain of salt and yes, i will re-consult with her physician if i feel led to.
ok, her lab results
Free T3 -- 18.8 HI Ref Range 2.0-4.4 pg/mL
Thyroxine, Free -- 4.94 HI 0.93-1.70 ng/dL
TSH 3rd Generation -- 0.005 LO 0.470-5.010 mIU/mL
TSI -- 440 HI 0-139 *1
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her Ultrasound, i will type out verbatim:
Indication: Hyperthyroidism
Technical Factors: Sonogram of the thyroid glad was performed.
Findings: The right thyroid lobe measures 4.9 x 1.7 x 1.7 cm. The left thyroid lobe measures 5.2 x 1.5 x 1.75. The thyroid isthmus measures 0.6 cm in maximal anterior and posterior dimensions.
The thyroid gland is heterogeneous in echotexture and diffusely increased in vasculatrity upon Doppler interrogation. There is a solitary hypoechoic nodule within the superior pole of the right thyroid lobe, which does not demonstrate internal flow upon Doppler interrogation measuring 7 x 5 x 5 mm. The nodule does appear to contain punctuate internal microcalcifications, a suspicious feature.
Impression:
Heterogenous, hypervascular thyroid gland suggesting underlying thyroiditis. A solitary 7 mm hypoechoic nodule within the superior pole of the right thyroid lob for which tissue sampling is advised to exclude the possibility of thyroid neoplasia.
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ok, now i have to run out for a meeting, but would appreciate knowing whether the seasoned folks in this room would call the doctor back in light of the ultrasound findings and say anything, like why are we not doing a FNA?
i don't want to be an alarmist, but i am her advocate. i want to do right by her.
thanks for your help.
penni
just got back from endo's - i have hypothyroid and have been treated for a few years w/synthroid. my daughter, however, is hyperthyroid and we just got back her labs and ultrasound results. i need a bit of guidance as her doctor didn't feel further testing on her thyroid was necessary after reading her ultrasound report, but i am feeling like she may? any advice will be taken with a grain of salt and yes, i will re-consult with her physician if i feel led to.
ok, her lab results
Free T3 -- 18.8 HI Ref Range 2.0-4.4 pg/mL
Thyroxine, Free -- 4.94 HI 0.93-1.70 ng/dL
TSH 3rd Generation -- 0.005 LO 0.470-5.010 mIU/mL
TSI -- 440 HI 0-139 *1
-----
her Ultrasound, i will type out verbatim:
Indication: Hyperthyroidism
Technical Factors: Sonogram of the thyroid glad was performed.
Findings: The right thyroid lobe measures 4.9 x 1.7 x 1.7 cm. The left thyroid lobe measures 5.2 x 1.5 x 1.75. The thyroid isthmus measures 0.6 cm in maximal anterior and posterior dimensions.
The thyroid gland is heterogeneous in echotexture and diffusely increased in vasculatrity upon Doppler interrogation. There is a solitary hypoechoic nodule within the superior pole of the right thyroid lobe, which does not demonstrate internal flow upon Doppler interrogation measuring 7 x 5 x 5 mm. The nodule does appear to contain punctuate internal microcalcifications, a suspicious feature.
Impression:
Heterogenous, hypervascular thyroid gland suggesting underlying thyroiditis. A solitary 7 mm hypoechoic nodule within the superior pole of the right thyroid lob for which tissue sampling is advised to exclude the possibility of thyroid neoplasia.
------
ok, now i have to run out for a meeting, but would appreciate knowing whether the seasoned folks in this room would call the doctor back in light of the ultrasound findings and say anything, like why are we not doing a FNA?
i don't want to be an alarmist, but i am her advocate. i want to do right by her.
thanks for your help.
penni