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Thyroid  (Expert Forum)
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Confused and concerned
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida Sarasota - FL
Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).

Confused and concerned

by bonkk, Jan 16, 2007 12:00AM
Recently, when undergoing a coratid doppler, I was told I had goiter.. Follow-up ultra-sound of the thyroid did show nodules.. 3 on the right side..2 on the left.. all blood tests being within the normal range the surgeon I was sent to ordered a thyroid uptake and scan. The tech. that did the test, showed me the screen so I knew that the left side took up very little dye @ 6 and 24 hr. The doctor's ofc just called and told me that my "test was normal, and showed no nodules"  I have a copy of the scan x-ray report, and the Impression reads as follows...Diminished

5-hour uptake is noted as well as  24 hour uptake on the left.  In addition, the left lobe appears to be quite diminutive in size relative to the right. Distinct hot or cold nodule is not identified. Strict correlation is advised as well as correlation with thyroid ultrasound."  I am not dieing to see more doctors or have any further tests run, but I am wondering about what the nurse told me.  The test to me sounds completly different than what she told me, and the ultra-sound(done before the scan stated there were indeed nodules.  Can you help me understand this..

by Mark Lupo, M.D., Jan 28, 2007 12:00AM
ultrasound is a much better test than an uptake/scan for nodules.  The low uptake may have been due to iodine in the diet or in recent CT scan (if applicable).  If any of the nodules are >1cm, would do US guided FNA  -- no matter what the scan said.
Member Comments (2)

by charley1986, Jan 16, 2007 12:00AM
To: bonkk
Hi,

In July, I had a carotid ultrasound as well and subsequently diagnosed with thyroid cancer.  From what my endo tells me, cancer is usually a single nodule.  However, I did have a small nodule on the other side.  No matter what anyone else says, only you know what you are comfortable with - if you do not agree with - or just have a "feeling" - get a second opinion - that is your right as a patient. The test said neither hot nor cold - and sometimes a warm nodule needs to be evaluated further.  I can understand not wanting to see more docs....seen enough of those lately myself - but if it were me, I would probably get another opinion - it's probably nothing to worry about - but better safe than sorry - see a specialist and rest your worried mind.  Hope all goes well with you.  Take care.

Peace, Charley
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