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Discussion Starter · #1 ·
Hey guys,
I'm needing help in understanding what all of this means. I took my 9 year old son to the doctors because he has been feeling like something is stuck in his throat and he cant breathe very well. He also has been choking on his food a lot. They did TSH blood work and that came back as 2.66 (range of 0.34-5.60). I'm just going to copy and paste his results from the ultrasound.

Thyroid
lump in throat
202111190000
3
19502204
EXAMINATION: Thyroid ultrasound.
CLINICAL INDICATION: Lump in the throat, R 22.1.
TECHNIQUE: Real time sonography was used to evaluate the thyroid gland
bilaterally on 11/19/2021. No comparisons.
FINDINGS:
The right lobe of the thyroid gland measures 4.3 x 1.5 x 1.3 cm, with a volume
of 4.3 mL. The echotexture is relatively homogeneous with several spongiform,
isoechoic thyroid nodules scattered in the right lobe, measuring up to 5 x 3 x
3 mm in the upper pole, 4 x 3 x 4 mm in the midpole, which have indistinct
margins and no abnormal echogenic foci, TR 2. An additional solid, isoechoic 7
x 5 mm region is noted, which is slightly hypoechoic, but otherwise
unremarkable.
The left lobe of the thyroid gland measures 4.2 x 0.9 x 1.2 cm, with a volume
of 2.4 mL. The echotexture is relatively homogeneous with a 1.1 x 0.5 x 1.1 cm
solid, heterogeneously isoechoic/hypoechoic partially exophytic nodule adjacent
to the lower pole, which has smooth margins and no abnormal echogenic foci, TR
4.
The isthmus measures 2 mm in diameter, which is within normal limits. No
discrete masses are seen.
IMPRESSION:
1. No thyromegaly.
2. Several benign subcentimeter right thyroid nodules.
3. 1.1 cm soft tissue nodule adjacent to the lower pole of the left thyroid
gland, which may represent parathyroid gland, atypical lymph node, versus TR 4
thyroid nodule. Correlation with nuclear medicine parathyroid scan and/or
follow-up ultrasound might be considered.
 

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You could ask for more testing. TPO antibodies would help determine if its autoimmune. Nodules are common on thyroid glands.
 
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