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Thyroid Scan
Taking Thyronorm 88 mcg for hypothyroid since 6 months.
Current TSH 4.71
Today did ultrasound of neck due to obstruction sensation in throat and tempting cough.
The observation is 6mm cystic nodule in right lobe and 1.8mm in left lobe. Both lobes enlarged with coarse echotexture. Suggestive of Thyroiditis.
Is this age related or need follow up.
Answers (3)
Hi
Greetings
Need to know your TSH before starting thyronorm.
TSH - 4.7 is well controlled with current thyronorm.
Cystic nodule of 6 mm is not a concern.
Thyroiditis can be an incidental finding.
Irritation or obstruction of the throat doesn't appear to be because of thyroid.
Needs assessment of the throat.
Next Steps
Kindly consult with previous values of your TSH .
Till then maintain your current dose of thyronorm.
Will require a 70° Laryngoscopic examination of the throat to confirm findings.
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Further evaluation needed
Next Steps
Consult Immediately
Health Tips
Fnac to be done
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
This pattern, enlarged lobes with coarse echotexture, fits chronic thyroiditis, which is usually the underlying cause of hypothyroidism itself rather than a separate age-related change. The small cystic nodules you mention are common in this setting and are typically just watched over time rather than treated right away. Your TSH is a little above where it's usually kept for someone on replacement, which is worth a dose review.
Next Steps
Please see your physician or an endocrinologist in person to confirm the nodules only need monitoring and to get your thyroid dose reassessed.
Health Tips
Don't ignore a persistent throat sensation even if the nodules turn out to be minor.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.