Ultrasound report - help!

[Brown674]

Would really appreciate some insights here. Just collected my ultrasound report (recommended as a regular follow up as the last ultrasound was done 6 years ago - I have Hashimoto's, 38 years old, female)

The 'conclusion' of the report reads as follows:

1. Thyroid gland has heterogenous echogenicity consistent with Hashimoto's thyroiditis

2. There are multiple thyroid nodules, the largest measuring 0.7cm on the right. These are of low concern and may be monitored.

Sounds like not much to be alarmed about right? However, in the 'observations' section relating to the left side of the thyroid, the report reads:

'There are two hypoechoic nodules in the upper pole measuring 0.5cm and 0.3cm. A tiny calcification is seen in the lower pole.'

Now the word 'calcification' is really freaking me out - from everything I read this is a strong indicator of malignancy. But from the report it appears the calcification is not in a nodule but in the thyroid lobe itself - can this happen? And if there is a calcification how is it that I am not being referred for further investigations?

Or maybe I just need to calm down and accept the report for what it is?

I am trying to see my endocrinologist but he doesn't have availability for a few weeks and I might just go crazy by then, going down the rabbit hole of Dr Google!

Please help!! Many many thanks in advance

Brown

[Lora7again]

I think if there was anything suspicious you would have further investigations. I have a multinodular goiter and I have had about 3 ultrasounds in the last 12 years. My last one was late last year and says this.

Benign enlargement of the thyroid noted bilaterally with months hypoechoic nodules. There is a background of hypoechoic parechhyma with increased vascularity in the neck.

Just to add that I read somewhere that calcification does not always mean cancer. I am trying to find the article I read about it but I can't. As you can imagine one of my greatest fears is that my goiter will one day become cancerous. Luckily none of my nodules have enlarged so far.

[Brown674 in reply to Lora7again]

thank you

I hear you totally on that fear! if its any reassurance, I had a multinodal goitre too on my last scan 6 years ago. However, on this latest scan, the goitre has disappeared! The thyroid is now back to normal size (albeit still with the nodules)

[Lora7again in reply to Brown674]

That must mean the swelling has gone down, mine is still a goiter unfortunately but not a big one which is a relief to me.