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  • Thyroid TR5 nodule help??

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    Old 07-09-2019, 04:03 PM   #1
    Adys123's Avatar
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    Thyroid TR5 nodule help??

    Abnormal ultrasound, as discussed above, including a 1.8 cm TI-RADS 5 right
    thyroid nodule. Published guidelines recommend endocrinology consultation and
    biopsy. In addition to sampling of the 1.8 cm right posterior mid-upper upper
    thyroid nodule, FNA of other portions of the gland containing numerous punctate
    echogenic foci, presumed microcalcifications, should also be considered,
    particularly in the right lower pole.

    The thyroid gland is heterogeneous and demonstrates nodularity of the capsule
    contour. The right lobe in particular demonstrates marked parenchymal
    heterogeneity and numerous punctate hyperechoic foci throughout the lobe, likely
    punctate calcifications. There is a discrete 1.8 cm nodule in the mid to upper
    right lobe with suspicious morphologic features, discussed below.

    Other small punctate hyperechoic foci are also seen in the isthmus and at the
    lower pole of the left lobe, without evidence of discrete isthmus or left lobe

    Inferior to the left thyroid lobe, an ovoid fusiform structure with smooth
    margins measures 1.9 x 1.5 x 0.8 cm, isoechoic to the left thyroid lobe but not
    clearly contiguous with it. This may represent ectopic thyroid tissue.

    Individual nodules were selected for measurement based on ACR TI-RADS criteria.

    Location: Right posterior mid-upper, partially exophytic
    Size : 1.8 x 1.2 x 1.5 cm
    Composition: Solid: 2
    Echogenicity: Mixed hyperechoic and hypoechoic: 2
    Shape: Wider than tall: 0
    Margins: Irregular: 2
    Echogenic foci: Multiple small punctate echogenic foci: 3
    Total points: 9
    TI-RADS category: 5. Biopsy is advised.

    Should I be worried? My fna isnít for a while.

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