The thyroid is larger with and more solid (heterogenous echotexture) than expected.
The right side is measured “AP” anterior posterior (front side to other side) both lobes are give measurement of 17mm.
Diffusely means it’s denser throughout without defined or “focal” nodules.
There is a 8mm spongiform nodule within the Left lobe side near isthmus. Which is bridge of tissue in centre connecting the 2 lobes.
Then report says LT again (so 1 may be wrong) The Left Thyroid lobe contains 2 spongiform nodules (with air (of fluid) sponge like) within the lower pole measuring 8mm and 4mm, there is also a 5mm colloid nodule - colloid is normal thyroid tissue but over growth.
All of the above nodules have peripheral vascularity. The edge has blood flow but not centre.
Reactive or swollen (inflamed) lymph nodes (glands) are seen bilaterally (both side) at submandibular (located near jaw) level and within the carotid chains. The chain of nodes. U2 classification. This is ultrasound grading U1 being normal U2 being minor concern, as abnormal. Up to 5 which is suspected cancer.
Blood results -
Serum TSH 0.32 mu/L Range 0.3-4.5 mu/L. Within range but quite low. Usually this is seen with high thyroid hormones.
Serum free T3 4.9 pmol/L Range 3.1-6.8 pmol/L 48%
Serum free T4 18.7 pmol/L Range 11.0-22.0 pmol/L 70%
Both are in range. It’s not uncommon to see higher % of FT4 but usually by a smaller margin. Your FT3 which converted from FT4 is poor.
Test nutrient, folate,ferritin, B12 & vitamin D. These can lower TSH and conversion. Have you had thyroid antibodies tested?
Are these the only set of thyroid results you have to compare? Do you take thyroid hormones?
If Doctor suspects over active thyroid or over medicated (Drs often go by TSH alone) ensure they account for FT4 & FT3 and not TSH.
B12 range range starts from 0, so suspect about that. Suspect 70.3 is below mid point & optimal would be above midrange. But not terrible.
Ferritin too low. GP should do iron panel.
Vitamin D very low. is doctor treating?
Antibodies are showing negative but levels can fluctuate greatly. Positive levels can confirm autoimmune thyroiditis (under active).
If this is your first thyroid test I would repeat thyroid function again no later than 3 months time. If the TSH were to drop below range this will be sub clinical hyperthyroid. The FT4 & FT3 were well range but should the FT4 & FT3 rise (which is seen with low TSH) there are other thyroid antibodies TRab & TSI which should then be tested and if positive would confirm autoimmune Graves.
Thank you so much, I have most of the symptoms of hypothryroid but with the low TSH the GP said it was impossible but tested me anyway. I will go back to the GP and ask for the iron panel test.
It’s said the TSH doesn’t cause symptoms it’s a pituitary hormone which signal the thyroid. It senses thyroid levels and reacts, telling the hypothyroid to increase or decrease production.
Your unbound (free) thyroid hormones which the body needs to run on are quite good & well within range.
Vitamin D mouth spray by Better You is very effective as it avoids poor gut function. There’s a version made that also contains vitamin K2 Mk7. One spray = 1000iu
In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency
Look at increasing iron rich foods in diet
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
Thyroid disease is as much about optimising vitamins as thyroid hormones
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Sorry another query on test results
Help please! T3 results etc
Help understanding test results
Help with supplements please
Results help please
