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Old 05-16-2007, 09:23 PM   #1
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Confused with ultrasound findings

Hi this is my first posting and I have recently had a thyroid ultrasound and I got the report a couple of days ago and it stated the right lobe measures 49x20x18mm. The left 52X22x20mm. Multiple small rounded nodules are seen on each side, generally hypoechoic, the largest one on the right measures 12mm over the lower lobe and the largest on the left measures 11mm over the mid zone. No colour flow abnormality is observed and no calcifcation is seen. No lymphadenopathy is apparent.
Comment : Findings are consistent with multinodular goitre.

I am a little confused at what all this means, My doctor wants me to see a specialist, My blood tests showed a number of problems, including high white cells or something ? and my blood preasure is sky high, She wants me to have another blood test just before I see the specialist. iron studies T3 T4 TSH Antibodies.

I am tired and my brain does not absorb much but is anyone able to please explain what all this means, What is hypoechoic ?
what will happen when I see the specialist ? and will this be the cause of my coughing fits or is it the smokes Cheers Ellie

 
Old 05-16-2007, 09:34 PM   #2
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Re: Confused with ultrasound findings

Can't tell you a thing about your ultrasound report specifically - sounds like maybe hypothyroidism - Hashitomos disease. But please don't listen to me - someone will come along that knows about that.

But - I can tell you that you should be proud to have found a primary care doctor who checked all this out for you and he is on the right path - you do need to see a specialist and the lab test he has asked for are perfect. So I would commend him on that. You will probably be referred to an endocrynologist - just another doctor - specialising in thyroid issues. That is a good thing. So go with it. I smoke too - so can't give you any trouble there.

Hang in there - like I said - someone will come along and read your thread and know more about what your ultrasound means - but seems your doctor has you on the right track. Welcome aboard -

 
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Old 05-16-2007, 11:53 PM   #3
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Re: Confused with ultrasound findings

Thankyou Lorretta for the welcome,

I have a very nice Doctor it was the 1st time I had been to her and she put me through the works.

I had blood tests years ago that showed my thyroid was working fine and at that time I did have a couple of little nodules, but nothing to worry about so they said, and I was told to eat sea weed ( YUK )
There was no enlargement of the thyroid nor was there as many nodules as there is now.
The more I read the more it all fits in from my dry cracked skin, to having no energy and the memory thing where I would forget my head if it wasn't screwed on !
I am a little worried as I do not know what to expect ! all I know is I want to feel like I am 47 ( My age ) and not 87 like I do at the moment and I want to get off this emotional roller coaster.

I will be angry if it turns out to be something because if so this could of been fixed years ago. I think from reading some of the postings having a understanding doctor that will listen is half the battle.
I am about to undertake a whole new journey in my life by the sounds of it and I will learn from your other posters and take a pro-active stand when it comes to my health now and not sit back anymore feeling sorry for myself
Cheers Ellie

 
Old 05-17-2007, 02:17 AM   #4
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Re: Confused with ultrasound findings

Hi ellie,

Hypoechoic is a descriptive term, meaning that it gives off fewer echos on ultrasound than the surrounding tissue.

They will probably do further testing to determine the exact cause of your nodules. At your advanced age (lol, I'm 48), they will most likely be looking at hashmoto's thyroiditis or toxic multinodular goiter. Dry skin more points to a hypo diagnosis but there are hypers with dry skin too. Tiredness and memory issues can be seen in both.

Did they test your thyroid hormone levels? If they did and you could post em here, there's lot's of people who can help you interpret those.

I think you've found a wonderful place to have a lot of your questions answered by a lot of people who have been thru exactly what you are going thru. Hang around and welcome.

Oh, can I come and see your doctor?

Helen

 
Old 05-17-2007, 05:45 AM   #5
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Re: Confused with ultrasound findings

Ellie,

Welcome to the boards.........

I am almost 54 and started going to Doctors at 47 with thyroid type of complaints......... long story.......I now have a "multi nodular goiter", I also have had high BP for 6 years now.........

But the good news is I am feeling pretty good now......... I am BP meds and thyroid meds.............I also stay of a low glycemic index diet and work out daily now that I feel better.

I felt very angry after a Doctor told me I had probably had thyroid disease for 10 years...... do why could these Doctors never find it? Sounds like you hit the jackpot on this Doctor........... pretty thorough.........

Let us know what happens and I hope you will get feeling better.......


Oleander

 
Old 05-17-2007, 06:12 AM   #6
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Cool Re: Confused with ultrasound findings

Hey Helen enough of the advanced age thing ! Im in my prime not pushing up daisies Yet ! I am still a HOT little blob
I have a pathology order for Iron studies, T3 T4 TSH ANTIBODIES which she wants me to get taken about 10 days before I see the specialist this will be the 1st ones I have done,
I also have a script for Neo-Cytamen injections which she says will make me feel better Oh I hope so cause I aint ready for a nursing home yet despite my advanced age
I will ask for a copy of the tests when I get them and post them Thankyou for answering my question, but sorry to say your going to hit the big 50 before me cheers and thanks ellie
Quote:
Originally Posted by accessn12 View Post
Hi ellie,

Hypoechoic is a descriptive term, meaning that it gives off fewer echos on ultrasound than the surrounding tissue.

They will probably do further testing to determine the exact cause of your nodules. At your advanced age (lol, I'm 48), they will most likely be looking at hashmoto's thyroiditis or toxic multinodular goiter. Dry skin more points to a hypo diagnosis but there are hypers with dry skin too. Tiredness and memory issues can be seen in both.

Did they test your thyroid hormone levels? If they did and you could post em here, there's lot's of people who can help you interpret those.

I think you've found a wonderful place to have a lot of your questions answered by a lot of people who have been thru exactly what you are going thru. Hang around and welcome.

Oh, can I come and see your doctor?

Helen

 
Old 05-17-2007, 07:02 AM   #7
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Cool Re: Confused with ultrasound findings

Hi Oleander, Thanks for the welcome, reading your story I think we must be twins

How did they treat your goiter, did they stick a needle in it ?thats the one thing I am not looking forward too, did they remove your thyroid ? what hapened when you first saw the specialist ? did he order more tests ? I am on medication for my high blood preasure and it is slowerly droping.

I have had tests coming out my ears in the last fortnight, Echoe, Ecg, bloods, scans and that was only the top half
we wont go into the bottom half its not a good look I am lucky with this doctor as I live in a small town and she is only new here and I have to travel to see a specialist, The one she wants me to see can only see me on the 6th of June at 6.30pm its dark by then and with all the kangaroo's on the roads I dont want to travel down at night

So I am going to ask if I can see another one instead, it might take a little longer but its better than being roo stew. I am glad you are feeling good now and your postings gives me and other newbies that read this hope.
Cheers Ellie
Quote:
Originally Posted by Oleander53 View Post
Ellie,

Welcome to the boards.........

I am almost 54 and started going to Doctors at 47 with thyroid type of complaints......... long story.......I now have a "multi nodular goiter", I also have had high BP for 6 years now.........

But the good news is I am feeling pretty good now......... I am BP meds and thyroid meds.............I also stay of a low glycemic index diet and work out daily now that I feel better.

I felt very angry after a Doctor told me I had probably had thyroid disease for 10 years...... do why could these Doctors never find it? Sounds like you hit the jackpot on this Doctor........... pretty thorough.........

Let us know what happens and I hope you will get feeling better.......


Oleander

 
Old 05-17-2007, 08:34 AM   #8
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Re: Confused with ultrasound findings

You ain't the only hot little blob around here. I'm actually 48 going on 35. I'm just playing sour grapes cause the last endo I went 300 miles to see seems to think I've been going thru menopause for the last 25 years. Didn't look. Didn't test. Jerk. Long story which I will not bore you with.

So, that's a good panel of labs. The B12 should give you a boost.

The needle in the neck ain't a big deal. You spend more time worrying about it before hand and then when it's done you can't figure out what all the worry was about.

I live in a small town too. We have one doctor. Travel anywhere entails dodging deer. We don't have any roos. We eat a lot of deer. Y'all eat roos?

Take care,
Helen

 
Old 05-17-2007, 06:12 PM   #9
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Re: Confused with ultrasound findings

I love the part about the kangaroos !!! I live way in the Ozarks and have to drive 1 1/2 hours on a 2 lane windy road to a decent hospital...We have tons of deer out on the road at night. I drove and flew out of State to see several specialists when I found out I had "nodules". 4 different Doctors and 4 different recommendations I was really upset.......and being a Medical person I was really upset and worried over all these different opinions and what to do.........I was like a crazy person especially when one said he was sure I had cancer.......... high possibility.........I heard that C word and went into high anxiety mode......

So I am not saying to do what I did..........I got 4 opinions....... I was lucky my insurance paid for them........... I read, I researched, and I am choosing to wait and watch my nodules............... I am with a Vascular surgeon, he is older and I really like him..........He ultrasounds my thyroid every 8 to 12 weeks and checks all my labs.........I am on Armour 2 1/2 Grains a day right now....... I had up to 12 nodules and am now down to 3 and none of them have grown.......... I actually forget at times I have a problem......other than my weight that I have to watch all the time.

I chose not to have the needle in the neck........I read if they are too small it is inaccurate much of the time.........(DO NOT DO AS I DO).........So I chose not to do it........I felt if they did one they should do all of them.....so I said no to it and my surgeon felt it would not give me a complete picture.......

I have agreed to have a partial thyroidectomy if my dominant nodules grow...so far they have not......

So I have my thyroid and am on medication and am being monitored.......

I hope this helps..................and by the way I am pretty hot for almost 54 !!!!!!

 
Old 05-17-2007, 07:32 PM   #10
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Lightbulb Re: Confused with ultrasound findings

Thanks Helen, I am not looking forward to the biopsy, just the thought of the needle going into my throat freaks me out a bit ! and not knowing what comes next, reading these pages I have a better understanding of what it is all about but I see despair and I could cry

I ponder the frustration that people are subjected too because of doctors who think they can label people because they have a degree and a text book, they are not even considering that people know there own bodies and know when they dont feel right, if only they could show a little more compassion and hear what their patient is saying and act according to that persons needs fears, and wellbeing the battle would be won !

We pay for many services in life ! but when it comes to being sick we are not pro-active enough we look at the doctor as a saviour instead of seeing him as a service we pay for and we deserve to get the best from !

If we were taking our car to the mechanic and he did not give us a quality service we would demand that he do his job and find the problem, if it was not up to standard we would tell him we are not happy and we would not waste our hard earned money on his service again ! so why do we put doctors on a pedastal ?

If we look at them as service providers that we are paying for, would we see them on another level and would our communication open up ? would we explain the problem just like we explained it to the mechanic ? If the doctor is not on the same level and willing to both communicate and listen to you then its time to find a better service because you deserve the best and you only have one life and why should you travel 300 miles for a substandard service to be told crap like that ! so if your not happy tell him the only men-o-pause your going through is him and your going to find yourself a real " man doctor " One with the right tools.


The Kangaroo is on our Coat of Arms and is protected but it is a very lean meat and tastes nice if cooked right, Our nation would be much healthier if we did eat them and its only lately that you see small amounts of the meat in the super markets,The funny thing is we do export it, and the goverment will do anything for the green vote but thats politics !

Cheers Ellie

Quote:
Originally Posted by accessn12;29***19
You ain't the only hot little blob around here. I'm actually 48 going on 35. I'm just playing sour grapes cause the last endo I went 300 miles to see seems to think I've been going thru menopause for the last 25 years. Didn't look. Didn't test. Jerk. Long story which I will not bore you with.

So, that's a good panel of labs. The B12 should give you a boost.

The needle in the neck ain't a big deal. You spend more time worrying about it before hand and then when it's done you can't figure out what all the worry was about.

I live in a small town too. We have one doctor. Travel anywhere entails dodging deer. We don't have any roos. We eat a lot of deer. Y'all eat roos?

Take care,
Helen

 
Old 05-17-2007, 08:02 PM   #11
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Re: Confused with ultrasound findings

Hi Ellie, another aussie here in sunny Queensland. So you are doing the rounds of our great health system...lol As the others have said your doc appears to be testing for all the right things.

Just wanted to say welcome and keep us updated.

Cheers
Pam

 
Old 05-17-2007, 08:23 PM   #12
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Re: Confused with ultrasound findings

Hi Pam, would shout "Aussie Aussie Aussie " but I would just cough and choke but thanks for the welcome, Im in soggy Victoria, We have heavy rain Yeah ! with a little bit of luck the drought is breaking,
cheers Ellie


Quote:
Originally Posted by Ozlady View Post
Hi Ellie, another aussie here in sunny Queensland. So you are doing the rounds of our great health system...lol As the others have said your doc appears to be testing for all the right things.

Just wanted to say welcome and keep us updated.

Cheers
Pam

 
Old 05-18-2007, 03:29 AM   #13
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Cool Re: Confused with ultrasound findings

Thankyou for your story Oleander, I understand what your anxiety mode would of been when they mentioned the word cancer

The reason I went to the docs a few weeks ago is because my pupils are not dialating and the eye guy thought I could of had Horners Syndrome, after tests they found my thyroid was enlarged and had multi nodulars with the 2 dominent ones being 12 and 11mm.

I do not have all the symptoms of horners and my pupils do dialate at a very slow pace with the testing drops. but do not react very well to normal light.thats why I dont drive at night and worry about the Kangaroo's jumping out.

I have been searching the boards to see if anyone else had miotic pupils, high white cell count, High blood preasure, ect
maybe my eyes are not connected to the thyroid I wont know until I see the specialist but something is not right and I worry it is Horners so I will have the biopsy, but I just want to sook about the needle so I dont think about the rest

Second Neuron Horner's Syndrome (preganglionic lesions) may be caused by thyroid enlargement, and lots of other nasty things that I wont mention here

I am trying to be positive about all of this but all I wanted is my eyes tested so I could see a bit better and all of a sudden I am on a roller coaster not knowing when its going to stop and not enjoying the ride.

We have medicare here in Australia, a small % is taken out of our tax payers wages to pay for it, a lot of doctors bulk bill the goverment so we are not out of pocket, The goverment also has a safety net for families, so if I go over $519.00 a year in meds and tests they will give me an additional 80% back, so I am only out of pocket by 20% once I hit that threshold

so if the doctor chooses not to bulk bill and I have to pay the gap. for eg: if they charge $32.00 a visit and the goverment ( medicare ) only pays $20.00 of it I have to pay a gap of $12 once that and meds adds up to $519.00 the safety net comes into place. ( we have 5 in our family )

If you are a low income earner you are given a health care card and most meds only cost you abt $3.50 and the docs bulk bill and you get free public hospital treatment.

I have private hospital cover so I can choose my Dr and stay in a private hospital and not have to worry about waiting lists, but that does not stop me from using the public hospitals if I want to,

I get more back from my private insurance company if I become a private patient in a public hospital, ( Hope I have explained this right ) Medicare does not limit treatments or admissions, if you need medical or hospital treatment everyone gets it,
Nor do they put preasure on our doctors to cut costs, we are not charged for every little band aid as our hospitals get goverment funding.

Where our country lacks is dental, although if you have a health care card you can recieve tretment but the waiting lists are huge, and going to the dentist costs a fortune unless you have private health and can claim it back.
and no you cant all come and see my doctor.........Ellie

Last edited by moderator2; 05-18-2007 at 04:49 AM. Reason: posted commercial website

 
Old 05-18-2007, 05:46 AM   #14
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Re: Confused with ultrasound findings

Ellie,

you explained that really good.........very good plan it sounds like....... Sounds like your Country has a plan in place for everyone........

Please let us know what happens and what you find out....

Sincerely, Oleander

 
Old 05-18-2007, 06:36 AM   #15
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Re: Confused with ultrasound findings

Hi ellie,

Actually it isn't really going into your throat. There's only a thin layer of skin and then your thyroid is right there. There's no pain nerves in the thyroid either. I found it less painful than a shot or having bloods.

You may be seeing despair when you read these threads, but there is also an awful lot of hope. Besides, you also need to take into consideration that people who post on boards like this are the ones who are having problems. All those millions and millions of people who don't run into problems have no need to reach out for help.

With all the great advances in modern medicine, the art of medicine is beginning to fly by the wayside. Doctor's no longer have the time to care and practice what medicine should really be about. It's much easier to throw a quick fix at a patient and then depend on what the machines and computers tell em. I can't imagine what it would be like to be a doctor now. Can you imagine what it must be like for the ones who entered practice with the ideal of actually being able to help people?

I'm one who lost the ability to look at a doctor as a saviour many, many years ago. I look at doctors now as a necessary evil. With the health care system the way it is, I would really prefer to avoid doctors at all costs, which for me doesn't really cost that much. I'm one of the lucky few who does have excellent medical coverage. I just live in an area that has no one to spend it on. I traveled 300 miles cause the only 3 other providers of endo services within a hundred mile radius were idiots. I'm not planning on going back to see him but right now that kinda leaves me in limbo again dealing with our one doctor who is absolutely clueless when it comes to thyroids.

I got me a man with the right tool. Only problem is he ain't a doctor. Well, gotta have some pleasure in life despite it all. Right?

I bet the roo tastes a lot like our deer. Excellent meat if butchered carefully and handled and cooked proper. We practically live on venison in this house. I like the idea of eating something so lean and pure. I think we buy beef maybe 4 times a year. We've got 3 freezers. Butcher around 18-24 a year and split the meat with the boys who like to hunt and since most of em don't eat much of it, we end up with a lot more than our fair share.

Take care and keep us posted.

Helen

 
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