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namelessme 08-26-2008 07:49 PM

Decyphering Ultrasound report
I picked up the lab result of my thyroid ultrasound today and am hoping someone out there can tell me what it actually means. My doc didn't explain what the ultrasound showed. He just said it meant I had Hashimotos.

It reads:

The right thyroid gland measures 4.73cm sagittal and 2.14 x 2.35 cm in cross-section. The left thyroid gland measures 5.10 cm sagittal and 2.01 x 1.67 cm in cross section. The thyroid isthmus is 0.51 cm. The gland shows diffusely mild increased flow but there is no discrete nodule. The pattern would be consistent with either Hashimoto's thyroiditis or diffuse Grave's disease.

Conclusion: No discrete thyroid Nodule. Diffusely mildly increased flow and mild prominent glands.

So... does this basically mean I have a mildly inflamed and/or enlarged thyroid? Or something else? And what does the 'diffusely mild increase flow' mean?


michelle221 09-02-2008 04:59 PM

Re: Decyphering Ultrasound report
Your ultrasound is almost exactly like mine. The increased flow means more blood flow to the thyroid I believe and that usually means thyroiditis.

I went to endo today and asked what this means and what type it is and she said its most likely silent thyroiditis. She said my miscarriage was last november so she doubts its post partum thyroiditis. My Thyroid peroxase antibodies were only 0.5 so I think she said that meant no hashimotos antibodies but she originally told me it was hashimotos at the beginning of the appointment today . I wonder if she really knows???? We ran my tsh free t3 and t4 again today in addition to a tsi to see if they have changed and I have started to get graves possibly. She said if my labs have not changed or are mor hyper then she will put me on ptu 50mg twice a day so I will not go too hypo. I am having all the hyper symptoms thats why we did the scan. Do you have any symptoms and have you had any labs?

My Thyroid ultrasound said this 8/7/08
there is enlargement of the gland right is 4.2 x2.0 x1.5 left is 4.5 x 1.6x 1.6 cm
mild prominence of the isthmus 5mm in thickness. neg for discreet thyroid mass

impression- nonspecific enlargement of the thyroid gland with prominent blood flow suggestive of thyroiditis

my labs read 8/7/08

TSH 0.59 RANGE 0.60-3.30 --- This had dropped to .50 by 8/12
T4 FREE 1.19 RANGE 0.71-1.40
T3 TOTAL 1.2 RANGE 1.0-1.7

namelessme 09-02-2008 06:45 PM

Re: Decyphering Ultrasound report
Thanks for the reply. I tested a bit high for one of the Hashi antibodies, although both were present when I was tested. My TSH is leaning high-ish (3-3.5), but my total thyroid hormones were within range. My doc never tested my free values.

Based on symptoms, the ultrasound and the Hashimoto antibodies, he stated I do have Hashimotos... which is what people here basically told me as soon as I posted the antibody results.

I tried getting an appointment with an endocrinologist, but the wait times are ridiculous. The places I tried stated I would have to wait 4-6 months to get an appointment. One office would give me an appointment in a month, but to see a PA only, which I think would be a waste of time. I'm not going to pay to see a specialist, and then see a physician's assistant instead.

I ended up making an appointment with an ENT who specializes in thyroid disorders. I figure he can't do any worse than most endos. I see him next week.

michelle221 09-08-2008 08:09 AM

Re: Decyphering Ultrasound report
let me know what they say. I would not pay either to see a PA. If the ent cannot help maybe a drive to an endo dr in the next town.

namelessme 09-08-2008 02:35 PM

Re: Decyphering Ultrasound report
The ENT said he wouldn't treat me, but I could see an Endo if I wanted to. He also mentioned that most Endos won't treat me either. Beats me why not, as I see no logical reason not to treat Hashimoto's.

So it looks like I'll have to look for a new doctor, perhaps try several.. not fun. I have a feeling this is going to take a while to get treated.

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