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HI, Thanks for your question. My name isXXXXX and I am here to help you today. I will be happy to help you with your follow-up questions also. I am an ENT and Head and Neck Surgeon so i do operate thyroid glands. I need few details. Do you have any symptoms like change in voice, difficulty in swallowing, shortness of breath etc? What are your specific questions? Regards
no change in voice no difficulties swallowing no really shorthness of breath when I get nervous and my bloodpressure goes up I feel some shortness of breath but not generally - the only thing is that my neck hurts on the left side and also on the rightsometimes and my headache seems to stem from that - can the thyroid push on structures - when I wrote this whole story I like you to give me an answer as to what you would recommend for something like this and if you need other information the prior ultrasound information I can write that for your comparasion. I always look to the most dangerous and read up on anaplastic so it made me very nervous -,........
I wish you good luck that you get well soon, please ask if you have any question because our discussion always remains open so you can always ask more till you are satisfied, You can click the smiley to rate the answer. You can come back here to ask anything even after you have rated the answer. I will be glad to help you always.
I like to write a couple fo more things from the ultrasound before for comparison. The thyroid lobes were then 5.2x2.2x2.7 cm the right one and in the upper one a complex 7x6x6mmpredominantely hypoechoic nodule.There is an isoechoic 1.7x1.2x1.8 cm round nodule in the mid rightthyroid lobe representing the dominant nodule from 6 months back.An echogenic nodule measuring up to 1.3x1.0x0.8 cm is seen in the inferior right lobe.Additional complex nodule measuring up to 1.3x1.1x1.1cm is seen in the inferior right lobe.
the left lobe measures 7.0x3.0x4.0 cm. In the upper pole is a 6x4x5mm heterogeneneous nodule. thereis a large echogenic focus with posterior shadowing in the upper lobe of the left measuring up to 6mm which is also present last ex. The left lobe is diffusely heterogenous and enlarged. The dominant nodule measures 4.4 x 2.7 x 3.5 and is heterogeneous in nature.
Impression - heterogeneous appearance of the thyroid with interval enlargement of the left lobe comp. to prior exam and multiple nodules.
Dominant nodule measuring 1.7cm in the mid right thyroid lobe likely representingthe previous dominant nodule on prior exam.
Heterogeneous nodlu on the left thyroid lobe measuring 4.4cm increased in size since last - 6 months ago.
This exam seems muh more specific than the new on in May this year - This one is from 11/19/12. And what I understand is the 1.7 nodule right now 2 cm and the 4.4 is 3.87 cm. I think the 6 mm in the upper left lobe is now 8 mm but in this report it did not say calcified - but I think I heard it was even before this report.
I like you if it is not too much to ask for look over this and compare - and I know that the biopsies were mostly for the left - compared to many years ago as the doctor was very through and checked many for biopsies. This doctor has just done the left lower pole and the needle biopsy then showed cystic lesion favor cystic change in an adenomatoid nodule and no malignant cells there - it was done once more and the same after the growth of the left lobe nodule to 4.4cm
I questioned this to the nurse and said why did he not take the right and the dr. was not concerned about the right was the answer.
I am Swedish and have lived all over the world and also know that in Chicago I was so well taken care of regarding the biopsies and nothing showed up - the nodules were of course smaller.
So, I understand I need to take this out and thank you for calming my scary thoughts about the worse scenario. Please let me know what you think about the comparison.
Thank you for your respons - I am more comforted and also thinking if the dr was concerned about any serious issues he would not choose to wait 6 months either -So in all regards XXXXX XXXXX to believe that the nodules are benign at this time, Eira
Yes I worry like crazy - and wonder if something the real serious can develop out of a goiter and would the specimen - the biopsy have shown that - I am worried about the 6mm havingincreased to 8mm and also I hav a feeling that I was told that it was some calcifications already some years ago in Dallas by a surgeon because I asked her to biopsy that part and she said it is too hard but the former ultrasound did not say anythingabout calcifications only the one from 5/15/2013. I am crazy worried! having missed the boat! Eira
Yes I belive that the thyrod needs to come out - I found a report from 2.22.2011 and by the way all reports are not showing calcifications dor at least the reader has not put it in. However the thyroid over these two years have grown significantly and the report from above mentioned date says - both lobes are enlarged but at the time not as enlarged as dnow - worse on the left - in theis report it says that both lobes are very heterogeneous and show increased vascularity - there are nodules bilateraly - they are solid in the right lobe and there are both cystic and solid in left.
there is a course calcification measuring 5 x 4 mm in the left - and that must be the one that is 8 mm now? multinodular goiter most likely correlation with a thyroid uptake and can is recommended.
So at that time the lobes were right 3.9 x 2x 1.9 cm and thee left 5.2 x 2.8 x 2.7cm and the larges in the right at that time measured 10 x 9 x 8mm. In the reporte the isthus have changed in this on 3.2mm
Greatful for an answer!
Do these nodules and the lobes do change over time? But as not knowing much I am more worried about calcifications
Another thing probably in my favor is that I was in the hospital and test wee taken lungs - mri - spine and plenty of bloodwork up to 26 tubes over 3 days and also the sed rate was almost 0. They did not find anythjingwrong with me they also cchecked the carotid arteries and the thyroid is from that time in May this year/
Greatful again for an answer
I am more and more aware of the problem now and having had and have headache and soreness in neck kfor long time and fatigue and tiredness I have now made app;ointment with an endoscrine surgeon and go there in 3 weekws. I will also go b ack to the surgeon I have been too and talk to him - I have no problems in swalloing but noticed a sore troat on the left side moslty where the big nodule is - and noticed that already last october - but it went away and have come back now and then and now it is beck - also some dry cough for one month - could this be consistent with issues - I just feel more on the left side.
Dr. Hassan thank you for excellent service - also I have additional questions - this with sore throat issues - the soreness is very far down and I can't see it - it feels like my left lobe is hanging down and that was the one the dr biopsied. - and it feels larger - it is one month ago I had the last ultra and that lobe was somewhat enlarged. This has been going on for one week now - and I called the office and the dr - is out of the country for long and I got the app the 19 of july but I go to specialists on the 7th. I have no problems swallowing or talking no horseness - some dry cough - putting my shin down I feel the fullness on the left - primarily on left this soreness - can the lobe hang on structures that feels like soreness? No problems breathing. Greatful for an answer
I tested my selft through a laboratory and found out that my thyroglobulin QN was 124 and the normals should nopt be mopre than 55 - what does that mean? Does that mean I have thyroid cancer? Eira
Thank you for clarifications - I am so tired mostof the time and have about every second day muscle spasm in back and migraine - I will have an epidural soon as I have herniated discs in cervical spine - I am so tired and worried about that also - I would like to write down the valuse:
This is from Lab corp - Thyroglobulin QN 124 and ref 0,5 - 55
Antithyroid globulin Ab less than 20 ref 0 - 40
T4 Free direct 1.28 ref 0.82 - 1.77
Reverse T3 serum 15.1 ref 9.2 - 24.1
T3 106 ref 71 - 180
TPO ab less than 4 and ref 0-34
Triiodothyroinine free serum 2.8 2.0 - 4.4
TSH 0.592 ref 0.450 - 4.500
Thyroxine T4 7.8 ref - 4.5 - 12.0
T3 uptake 34 ref 24 - 39
Free thyroxine index 2.7 ref 1.2 - 4.9
I went to the endocronologist the other day and he felt the big lum smooth and nice but I also mentioned that the surgeon did not biopsy my left side some nodules there are 2.0 cm and one 2.4 cm and as per the surgeon he was not concerned aboutthe rightside! The endoscronoligist mentioned that he ought to biopsy the right side also but he was not that concerned - I am going tosome specialist on the 5th of july- as I am so tiredand worried and most likely my migraine and muscle spasm and fatigue has intensified. Greatful for reply again. Eira
please ask if you have any question because our discussion always remains open so you can always ask more till you are satisfied, You can click the smiley to rate the answer. You can come back here to ask anything even after you have rated the answer. I will be glad to help you always.
Hemoglobin and bloodwork mostly fine - so thyroid has nothingto do with this - like I can be more or ls OK and suddenly this muscle pasm comes ovr me and I get some higher bloodpressure and heart rate - by th way that ha also been tested - and my breathing gets a little labored and stomach acid start moving and headache starts - that can last from 10 minutes to hours to almost whole day and I am never rested when -I wake up - and the fatigue - but they state I hve fibromyalgia - some of my dr friends in dallas state when they can't find anything some dr attribute all this to fibromyalgia. Sometimes I don't know what to believe? /so when my values are OK this has nothing to do with the thyroid? ?But my migraine contribute a lot to my issues I am sure?
Thank you for your answers......And my internist she does not know!
Dear Dr Hassan!
As per my fatigue and weakness etc I would like to ask another question about my blood work. I took the full panel and all the hematological measures were OK except Eos: H 0.5 0.0-0.4. Why? Apparently all times before it has been just fine.
The glucose was high - I ate some and shouldnot have donethat 109 65-99
Cloride serum always low 92 97-108
Bun/creatinine ratio L 11-26
Sodium always on the low side for me - 130 134 - 144
Cholesterol total 207 H 100 - 199 surprising!
Triglycerides H 150 0 - 149
LDL H 120 0 - 99
HDL 57 greater than 39
Pleased for an answer,
I have a question pertaining to hot flashes - I don't know if I mentioned that before but this inconvenience started in January and before then I was not feeling good - having fatigue and aches and pains etc - etc. It seems like I have a virus all the time - very horrible - some say it is fibromyalgia - but what about these hot flashes - can they be part of the thyroid issues? The thyroid problems I have had for a long time but the growth started last year and was noticed in Nov last year - would that be a connection? Thanks so much, Eira
T hank you - the hormones are probably non-existent atthis time but I will ask - I have patches I got from the gyn-dr and have had one forone week but really not helpful and I bought some supplements now and will go for that for the time.
Still worried about my thyroid as I can feel the right side now - and I go the the specialists this Friday - and my aches and pains and fatigue and also something else occurring is a tight squiss in the sides and the whole back and it feels like the bones are hurting also and not only the muscles - I go to a fibro dr in Miami and have not had this stabbing squizzing pain before came about two weeks ago - now in my little mind I think perhaps the thyroid issue has spread to the bones???!!!!!! Eira
Thanks a lot for your input. No it is not your thyroid affecting your bones. In my opinion you should be checked for osteoporosis and your gynecological hormones should be checked. These both problems are interrelated and can be the cause of your problem. I assure you that your thyroid is not responsible for your other symptoms. Regards