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What does it mean if my ultrasound shows a mildly enlarged thyroid with multiple nodules and cysts?
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Gynecology & Pregnancy Care
Question #30595
39 days ago
132

What does it mean if my ultrasound shows a mildly enlarged thyroid with multiple nodules and cysts?

Client_49c6e6

SONOGRAPHY OF NECK Rt. Lobe thyroid: - Mild enlarged & heterogeneous echotexture. size measures (5.8 x 3.4 x 4.6cm). Multiple small nodule & few small cystic lesion filled with thick fluid collection likely colloidal cyst, largest one nodule measures (1.7 x 1.0cm) & largest one cyst measures (1.6 x 1.1cm). (Unilateral mulți nodule goiter) Lt. Lobe thyroid:- Normal in shape, size & echotexture (3.6 x 1.3 x 2.5cm). No calcification seen. B/L Parotid gland appears normal. Ducts are not dilated. Mild thickened Isthmus towards (5.9mm) Rt. side. B/L submandibular gland appears normal. Ducts are not dilated. B/L great vessels of neck appears normal. single large Rt. submandibular lymph node measures (2.0 x 0.9cm). IMPRESSION:- MILD ENLARGED & HETEROGENEOUS RT. LOBE OF THYROID GLAND WITH MULTIPLE SMALL NODULE & FEW SMALL CYSTIC LESION FILLED WITH THICK FLUID COLLECTION LIKELY COLLOIDAL CYST, LARGEST ONE NODULE MEASURES (1.7 X 1.0CM) & LARGEST ONE CYST MEASURES (1.6 X 1.1CM). -(UNILATERAL MULTI NODULE GOITER). MILD THICKENED ISTHMUS TOWARDS RT. SIDE. SINGLE LARGE RT. SUBMANDIBULAR LYMPH NODE MEASURES (2.0 X 0.9CM). B/L PAROTID GLAND & SUBMANDIBULAR GLAND APPEARS NORMAL. PLEASE CORRELATE CLINICALLY WITH OTHER RELEVANT INVESTIGATIONS.

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Doctors' responses

Hello dear See as per clinical history it seems Multinodular goitre Presence of cyst as secondary findings It will require comprehensive evaluation Ideally there is no need of Fnac Ct scan Mri Biopsy if recommended by endocrinologist But follow up is must with concerned endocrinologist for Thyroid USG Serum tsh Antithyroid medication like Propyl thoiuracil Levothryrixine So please have follow up with concerned physician only for better clarity Regards

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The ultrasound suggests a mildly enlarged thyroid gland on the right side with multiple nodules and cysts, commonly referred to as a multinodular goiter. This is generally not unusual and can occur due to various reasons, often related to changes in iodine intake, aging, or other hormonal factors. The nodules and cysts can be benign, but sometimes, they might require closer evaluation to ensure there’s no risk of malignancy. The larger nodule and cyst, at 1.7 cm and 1.6 cm respectively, deserve attention. Typically, nodules greater than 1 cm are further assessed, often involving a blood test for thyroid function (like TSH, Free T4) and possibly a fine-needle aspiration biopsy, especially if you present symptoms such as difficulty swallowing, breathing issues, or abnormal thyroid levels. The thickened isthmus and the presence of a lymph node could be due to inflammation or an infection, though a single lymph node is commonly benign, particularly in the absence of other worrying signs. As the left lobe of your thyroid and other neck structures appear normal, this may imply the changes are confined, but your clinician will need to integrate these findings with your clinical picture – symptoms you’re experiencing, thyroid hormone levels, and personal risk factors such as family history or radiation exposure. Further diagnostic tests like thyroid scans or additional imaging might be recommended based on these results. For now, following up with your healthcare provider is critical to decide upon the necessity of monitoring or intervening.

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