ultrasound/sonogram results?: So, I’m... - Thyroid UK

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ultrasound/sonogram results?

musicandmemories profile image
7 Replies

So, I’m hyperthyroid currently. Went in for an ultrasound, which says: “No nodules.” Which is good of course!

But then it says: “There is a focal region of exophytic thyroid tissue lobe measuring 0.7 cm arising off the lower pole of the left thyroid.” Anyone know what this means haha? Ever gotten something like it as result?

My doctor has only said: “your results show no nodules.” She didn’t comment on this. Guess I’ll ask but curious if anyone knows!

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musicandmemories profile image
musicandmemories
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PurpleNails profile image
PurpleNailsAdministrator

Are you currently on replacement? You were diagnosed Hashimoto’s almost a year ago.

What are your hyper results. TSH, FT4 & FT3 (with lab range)

exophytic means outward growing. Often on surface of organ / gland.

Sounds like a nodule to me but doctor needs to explain why & how they know this is different. Nodules under 1cm are often considered insignificant so I may be why they aren’t interested in it.

Ultrasounds don’t determine function. It can detect anomalies & growths and look at size & health of thyroid but it can show if the tissue is function or not.

musicandmemories profile image
musicandmemories in reply toPurpleNails

Interesting! I guess whatever it is… small enough to be insignificant? I was never put on replacement, my hormones were normal until now. We had only ever found the antibodies (TPO last week measuring 900 IU/ml, range <9 IU/ml). Other recent results below:

TSH low (last week): 0.0007 uIU/ml, range is 0.45-4.5 uIU/ml

FT4 high (last week): 2.46 ng/dL, range is 0.82-1.77 ng/dL

FT3 high (last week): 5.6 pg/mL, range is 2-4.4 pg/mL

They’re saying this is a temporary hyperthyroidism due to thyroiditis. I have a radioactive scan next week, and then I am to start on anti-thyroid meds. Trying to also understand if I should consider radioactive iodine treatment instead of the anti-thyroid meds. Little hesitant of the meds. Am going to ask if that’s an option, but honestly the doctor might say unnecessary since this is supposed to be a temporary hyperthyroid state.

Anyway, there’s a lot of info thrown your way haha! Thanks for the input :)

PurpleNails profile image
PurpleNailsAdministrator in reply tomusicandmemories

Have TG antibodies, TRab and TSI antibodies been tested?

If the hyper is temporary, antithyroid not correct treatment

With autoimmune thyroiditis (Hashimoto’s) the immune system attacks thyroid & the damaged cells release hormone. It’s not caused by the thyroid producing too much, the levels will naturally drop. Carbimazole / PTU will lower natural production so will drive you hypo quickly even at a low dose.

The elevation/s tends to fluctuate high & low but over time function becomes low.

Uptake scan will show exact function. It’s likely to slow low uptake ie no funtion where thyroid has been damaged. It will pin point any part of thyroid hyper functioning.

Please put country in profile.

musicandmemories profile image
musicandmemories in reply toPurpleNails

Even more interesting, thanks - yeah I’ll clarify why she’s saying do antithyroid if this is eventually going to turn hypo. Definitely want uptake for more info, little confusing.

We did run those antibodies! My TG ab antibodies are elevated (or is this high?): 1.6 IU/mL, range is 0-0.9. IU/mL

Those other two (direct associated with Graves, right?) are both negative. Although, Graves runs in the family, same with Hashimoto’s.

SlowDragon profile image
SlowDragonAdministrator

also test vitamin D, folate, ferritin and B12

SlowDragon profile image
SlowDragonAdministrator

Hashimoto’s frequently starts with transient hyperthyroid results and symptoms before becoming increasingly hypothyroid

Have you had coeliac blood test

If not get tested before trialing strictly gluten free diet

Batty1 profile image
Batty1

Might have a look at this article.

endocrine-abstracts.org/ea/...

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