I will start with just a brief background. I am 41 years old. At the age of 37 I went to doctors with complaints of symptoms that were unusual for me (now I know they are classic thyroid symptoms). Long story short, the doctor thought she felt a goiter and sent me for blood work and unltra-sound. I never heard back with the results and [B]assumed[B]that everything turned out okay.
I go to same office but see a new doctor each time.
Since that time I have been back for other minor ailments and the big one last year sever anxiety attacks, heart palpations, shortness of breath, insomnia.
The doctor prescribed me wellbrutrin and sleep medicine and never mentioned my previous symptoms from 2002.
Now a year later My neck is swollen and protruding, having difficulty swallowing, tightness in neck and feeling as if I am not getting enough blood or oxygen to the brain (I know that sounds strange).
So back to Doctor........ask her to check my thyroid. She questions my why. I give her the run down from 2002. She tell me that because she has never seen me befor she wouldn't know if my neck looked unusual or not.
She looks at it and says she will order blood work. Sends me to lab and out the door! I call back the next day for results and she tells me my levels are high and that she schedualed me for another ultra-sound.
I didn't hear anything for few days after test so called her. She said that I had a goiter and that she has called me in a prescription Levothyroxin 50 mcg.
end of story.
That is when I got mad and decided to take charge of my treatment. First I requested a refferal to endo. I have asked for all of my result to all test. Now I need help interpreting them. I cannot get into endo. until after Christmas.
HERE THEY ARE:2002
Individual chem Test:
T4 (Thyroxine) 8.31 4.45-12.00
T-Utake 1.20 0.66-1.27
TSH 4.832 0.350-4.940
CLINICAL DATA: PALPABLE NODULE
FINDINGS: survey of both thyroid lobes show extremely heterogeneous echo patterns throughout without a sistinct nodule or distinct cyst. This appearance is most frequently associated with Hashimoto's thyroiditis. An areas of somewhat decreased density is present in the mid left lobe. It is recommended that a follow up study be done in six months to exclude and expanding mass ( rather doubtful given the appearance of the rest of the gland).
IMPRESSIONS: Somewhat enlared and irregulare and heterogenous echo patterns throughout consistent with thyroiditis. Recommend a follow up in six months. END OF REPORT.
TSH: 5.88O H 0.290-5.500
(ONLY BLOOD TEST DONE)
EXAM: THYROID ULTRA SOUND
CLINICAL INFORMATION: GOITER
TECHNIQUE: MULTIPLE SONOGRAPHIC IMAGES OF THE THYROID GLAND WERE OBTAINED.
COMPARISON: ULTRASOUND THRYROID 2002
FINDINGS: Thyroid isthmus measures 0.95 cm. Right lobe measures 6.6 x 2.7 x 2.7 cm. left lobe measures 6.9 x 2.2 x 2.7 cm. The gland is enlarged and shows a heterogenoeous echotexture. A 4 mm cystic nodule has developed in the right lobe which was not present before. The previously seen nodules cannot be discerned.
IMPRESSIONS: Enlarged heterogeneous thyroid glad with no discernment of nodules seen previously. A new cyst is noted. ***end report***
Phew!!! I know that is alot of info.
Can some of you help me understand what all this means? I need to interpret them. Also...what does heterogeneous mean?