enlarged thyroid with lesion

The scan showed that my thyroid was a large, asymetric thyroid, predominantly involving the left lobe with a low density lesion at the inferior pole of the left lobe of the thyroid. It is a lower density lesion measuring 1.6 x 1.3 x 1.3 cm containing a punctate calcification at the lower pole of the left thyroid lobe. Is this cancer or a goiter. Should I see a surgeon first or an endocrinologist?

Around three years ago, my general physician sent me foe an ultrasound due to her noticing that my thyroid was larger on one side. The results came back that it was enlarged but that we would just watch it. Flash forward to now, I have noticed that my throat feels thicker and some trouble sometimes getting a good breath. Every once in a while I will be talking and my voice will go raspy. Also randomly I get a sore throat that will last a couple of hours then go away.

A related discussion, <a href="/posts/Thyroid-Disorders/Heterogeneous-Density-with-no-focal-thyroid-lesion/show/1797739">Heterogeneous Density with no focal thyroid lesion</a> was started.

I was told in 2010 that my thyroid was enlarged on the right side only. I had a ultrasound and needle biopsy and it came back benign. It is 4 cen. So every 6 months I have a ultrasound to see if it has changed and it hasn't. Had my second needle biopsy this past October and after 4 pathologist viewed it it came back indeterminate follicular lesion. Now my doctor is pushing sugery to just remove the nodule that is malignant. Said they can't tell if it is cancer till it is out.

Thank you for the response Jean213. No they haven't mentioned biopsy yet. I'm assuming it will be the next step after the Ultrasound. Whether they decide to do a FNB or a surgical one will probably depend if the 'lesion' proves to be a lymph node or a thyroid nodule. If it is on the thyroid, I'm sure it will be a FNB. I'm just floored that they can't determine whether this lesion is on my thyroid or a lymph node.

hi dr, i discovered my thyroid nodules in october 07 and it has grown about 2cm since then, scan showed i had a multinodular thyroid with a dominant nodule which was aspirated and found to be follicular cells so having the whole thing removed (report said very little thyroid tissue and no convincingly benign features) i also have enlarged lymph glands, grew quite rapidly, constant feeling of a lump in the throat. all blood tests nornmal except possitive for TPO antibodies.

moderately enlarged right and left lobe of the thyroid with multiple nodules in the left lobe as well as towards the pyramidal lobe...

fast forward had another ultrasound nov 2013 which revealed no nodules no cysts or growths but enlarged left and right thyroid lobes.. This year I have gained and lost the same twenty pounds due to a gastric condition but other than that it has always been impossible for me to loose weight. THYORID ULTRASOUND NOV, 2011 RIGHT LOBE: 5.5 X 1.4 X 1.7 CM. LEFT LOBE: 4.6 X 1.4 X 1.9 CM.

They did a biopsy on the left thyroid adenoma that they found and it has came back as an aypia of undetermined signfiance - rare group of follicular cells with enlarged nucei, some with muclear grooves, present in a background of abundant volloid; favor reactive changes.... any thoughts or ideas on what this might be? it is common to find both? I have history of an acoustic nueroma on the right side. 4.4 cm - surgery in Dec 05. Any suggest treatment plans? monitor it? Thyroidectomy?

These findings are consistent with a benign adenoma. However, the lesion is hypovascular with some central increased vascularity. Given this finding and the factthat it is large -greater than 1cm. they want a FNA. There are several small focal benign lesions less than 1cm the largest being 3.9mm diameter within the left lobe that are most assuredly benign incendental adenomas. The MRI was done this morning and of particular concern is the dilated eye which has improved 50%.

I asked if they thought it was a nodule on my thyroid or if it was an enlarged lymph node and they said that they can't determine that until they get the results of the ultrasound. I'm just wondering why they can't tell if it is my thyroid or a lymph node? Also, why is it that whenever I do a search on 'legion' it comes up with neurology topics? I am so confused and am probably causing myself more stress. Thanks in advance for any help anyone can offer.

I have a single Dominant thyroid nodule in the left lower pole , with hetrogeneous echo strucutre and a solid one Ultra sound shows it's measurment in last October 20th 2008 was 4.1cm * 3.8 cm * 3.0 cm .The FNAC shows Follicular lession with a cystic change. Left Lobe is enlarged measuring 5.1cm* 3.6 cm* 2.5 cm . In 19th Feburary 2009 Ultra sound measurment of the tyroid nodule is 4.2 cm* 3.6cm * 3.8 cm with a enlarged left lobe .

8 x cm with a heterogeneous echotexture lymp in the submandibular region. Considering the solid lesion - metastatic lymphadenopathy should be considered. My appointment is next Friday with the ENT. Does anyone have any suggestions or thoughts or questions I should ask. Any thoughts would be so appreicated! Thank yoU!

The parotid and submandibular glands are symmetric. The thyroid gland is enlarged, with a right lobe predominance. No distinct thyroid masses are detected on these images. There are several Shotty lymph nodes noted throughout the neck, the submental region, as well as in the subcutaneous soft tissues of the lower neck posteriorly/upper back. There is no evidence of pathologic lymph node enlargement. Scans through the upper lung zones are unremarkable.

Thank you Dr Mark Lupo, Just had the FNA yesterday. They only wanted to test the left one and argued the fact that these were all fine and I could come back in a few years to have them rechecked. But, I was concerned about the one you mentioned the hyper vascular nodule. They still argued their point. I finally asked them to do the one ... so I can sleep at night, peace of mind.

Hi, the labs were Free T4 @ 1.5 ( range 0.8-1.8) and Total T3 @ 143 ( range 76-181). I am not taking any thyroid hormone medication. The impression doesn't state what is recommended which I thought was weird. It just says "Markedly abnormal study with increased radioactive iodine localization in 6 and 24 hours. There is no focal lesion to indicate hyper functioning solitary nodule.

Perhaps you can be referred to see an endocrinologist. With the enlarged thyroid and symptoms you definitely need to look into this much further and get some answers. Best wishes. Please keep us updated.

4 x 1.7 cm. The gland appears diffusely enlarged with some inhomogeneous echogenicity throughout both lobes. Right lobe larger than than left. There is a small 1.2 x 0.7 x 1.0 cm hypoechoic lesion in left lobe of thyroid gland. This does have some vascularity in it and the etiology is to be determined. Both inflammatory as well as neoplastic processes would be a consideration. Impression: 1. A 1.2 cm hypoecoic nodule in the left lobe of the thyroid gland, etiology of which is to be determined.

Thank you (Update) , I just got the preliminary report and the right ovarian complex lesion has shrunk!, Now the left ovary is enlarged but just a simple follicular cyst. However the fibroid has enlarged went from 8.3 cm to 9.3 cm and the uterus is enlarged 13.6 x 6.5 x 8 cm. ( how many weeks is that, I feel huge ) In 2005 the uterus was 8.8 . I still have indigestion and bloat and the weight gain., but must now be from the fibroid .

had blood tests done the last 2 months one came back overactive thyroid second came back low.had ultrasound done .thyroid enlarged midpart of right lobe is a heterogeneous hypo/isoechoic nodule identified measuring 23mm in maximum dimension internal vascularity suggestive of a solid component.the juntion of the isthmus and right lobe there is a 13mm ovoid cystic lesion identified.

Enlarged thyroid with lesion

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