Thyroid Ultrasound : Hi all, I have the results... - Thyroid UK

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Thyroid Ultrasound

Cassav profile image
13 Replies

Hi all,

I have the results of my ultrasound and it says it's normal?! How can that be? Can the knowledgeable people on here help me to interpret the ultrasound report below.

Her USS is normal done on 27th Jan

US THYROID:

The right lobe measures at the lower limit of normal 4.3 ml.

The lobe is lobulated, striated, diffusely heterogeneous and hypoechoic.

Normal vascular appearances.

No focal nodules.

The left lobe measures at the lower limit of normal at 4.3 ml.

The lobe is lobulated, striated, diffusely heterogeneous and hypoechoic.

Normal vascular appearances.

No focal nodules.

The isthmus is normal in thickness and measures 3 mm.

Heterogeneous echotexture.

Normal appearances of the bilateral anterior triangle lymph nodes. No lymphadenopathy noted.

Normal appearance of the bilateral submandibular and parotid glands.

CONCLUSION

Diffusely heterogeneous thyroid measuring at the lower and normal in volume

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Cassav
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13 Replies
J972 profile image
J972

Is your surprise because you thought being hypo meant that your thyroid would show signs of damage?

I thought the same, after my thyroid ultrasound late last year where the ONLY feedback I received was that it was ‘boringly normal’. I was confused and immediately sought the help of the forum. Here’s the post:

healthunlocked.com/thyroidu....

Cassav profile image
Cassav in reply toJ972

Hi, yes I thought it would show some sign of damage. Thank you so much for sending me the link to the post😊. I will read it carefully and try to wrap my head around what is causing my hypothyroidism!

J972 profile image
J972 in reply toCassav

You’re welcome. Hopefully others will be along with more insight into why you’re symptomatic.

The dr who conducted my ultrasound gleefully (a bit too gleefully for my liking in fact) declared that I ‘don’t have a thyroid condition.’ I said ‘I respectfully disagree’, a phrase I’ve had to unfortunately bust out in a few medical settings of late (I’m *trying* to bite my tongue).

Cassav profile image
Cassav in reply toJ972

'I respectfully disagree' is a good one to use! I wonder what the endocrinologist will say about my scan at my appointment in May!

Sparklingsunshine profile image
Sparklingsunshine in reply toCassav

There can be many causes, obviously autoimmune is the most obvious, around 90% of cases are autoimmune, but there are other causes,not enough iodine or conversely too much in the diet, pituitary damage, childbirth, certain medications like Lithium can cause hypo.

Certain other medical conditions seem to go hand in hand with thyroid disease. Ultimately it a moot point as once the thyroid is malfunctioning it rarely recovers. And treatment is the same whatever the cause, thyroid replacement therapy.

Cassav profile image
Cassav in reply toSparklingsunshine

For me pregnancy was the major trigger but I was hypothyroid years before then and Subclinical hypothyroidism since 2014. But I have TPO antibodies so that confirms that it's autoimmune? I guess I may not ever find out the exact root cause

Sparklingsunshine profile image
Sparklingsunshine in reply toCassav

If you have raised antibodies then that confirms AI thyroid disease. Autoimmune conditions are far more prevalent in women, one of the many joys of being female 😒.

Just to add to the puzzle some people with AI thyroid never have raised antibodies. My antibodies have been tested in 2016 and 2020 and have never been elevated. So maybe I'm one of the 10% whose thyroid problems are down to other causes.

Cassav profile image
Cassav in reply toSparklingsunshine

Yes, Gabor Mate's theory is that we as women are conditioned to be 'nice' and put others first and that repressing emotions, particulary anger, causes stress and autoimmune disease. I'm definitely in recovery from 'good girl' conditioning 👊🏽

Yes it's such a puzzle. We really have to learn to tune into our bodies and experiment.

greygoose profile image
greygoose

As you have high antibodies, you do have Autoimmune Thyroiditis - aka Hashi's - but it would seem that there hasn't been enough damage done yet to show up on the ultrasounds. Doubtless, with time, it will show up, but unlikely they'll ever do another ultrasound because they don't seem to understant that things can get worse!

Cassav profile image
Cassav in reply togreygoose

🤦🏾‍♀️. They really are useless about so much

greygoose profile image
greygoose in reply toCassav

🤣

SlowDragon profile image
SlowDragonAdministrator

diffusely heterogeneous and hypoechoic.

this is indicative of hashimoto’s

entlubbock.com/blog/heterog...

everlywell.com/blog/thyroid...

Heterogeneous echogenicity” may indicate that a small growth known as a thyroid nodule has developed on the thyroid. [3] More commonly, it describes the likely presence of a diffuse thyroid disease (DTD), the most common of which are Hashimoto’s thyroiditis (HT) and Graves’ disease.

Cassav profile image
Cassav in reply toSlowDragon

Thank you!

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