Thyroid scan

[Flick9]

Clinical Indication:

croaky voice, underactive thyroid

Findings:

Patient highlights known Hashimoto's.

The thyroid is atrophic and hypoechoic in keeping with end stage

diffuse thyroid disease. It has an

overall volume of 2.1 cc; the right lobe has a volume of 1.3 cc,

while the left a volume of 0.8 cc.

The isthmus measures 1 mm AP.

Solitary 5 x 3 isoechoic nodule in the left lobe. It is avascular and

shows a hypoechoic rim. No

convincing sinister features are demonstrated (U2).

No lymphadenopathy visualised in either cervical chain.

Conclusions:

Thyroid is atrophic in keeping with end stage diffuse thyroid

disease. No acute findings.

What does this mean? Do I need to do anything differently from being Hashimoto's to being atrophic and hypoechoic in keeping with end stage?

I would be grateful for any feedback.

Many thanks

[greygoose]

It means you have Hashi's and your thyroid is almost dead. Well, to be more precise, you have Ord's. But Ord's is just Hashi's without the goitre. Apart from that it's just the same and treated the same: thyroid hormone replacement. So, nothing more to be done.

[Flick9 in reply to greygoose]

Thank you, I was a little shocked when he said my Thyroid has gone 😳

[greygoose in reply to Flick9]

Well, I don't suppose it's completely gone, but it's just a little dried-up pea, now.

[jacksnipe in reply to greygoose]

Monday morning Hashis description of self: 'little dried-up pea'. Thank you greygoose, makes me feel a lot better!

[greygoose in reply to jacksnipe]

Mine is the same, if that helps. That's what Ord's does.