I’m not sure if I have hashis or not.

Question

I’m not sure if I have hashis or not. I’ve heard that hypo-thyroid (which is what I’ve been diagnosed) is pretty much a lead into hashimotos anyway…..??? My antibody labs came back normal, but I know that doesn’t automatically rule out hashis. Below is a written report of my latest ultrasound of my thyroid and thought someone could possible help me interpret or be interested to read it. Thanks

IMPRESSION:
1. The isthmus is thickened with 2 adjacent dominant solid nodules.

2. No discrete nodule is within the bilateral thyroid lobes.

Narrative
THYROID ULTRASOUND: 1/13/2016

No comparison examination.

CLINICAL INDICATION:

Thyroid enlargement. History of past thyroid biopsy, possibly a nodule.
Please evaluate.

FINDINGS:

The bilateral thyroid lobes are homogeneous, without enlargement or
nodule. The right lobe measures lobe 4.8 x 1.5 x 1.0 cm. The left lobe
measures 4.5 x 1.3 x 1.2 cm.

The isthmus is thickened, measuring 0.9 cm. There is are 2 adjacent
vascular heterogeneous solid nodule within the isthmus, measuring 2.6 x
1.7 x 1.4 cm and 2.2 x 1.0 x 0.9 cm, respectively.

in progress 0
Rachel 3 years 13 Answers 299 views 0

Answers ( 13 )

  1. I’m not seeing an indication for autoimmune thyroid disease in that report. Your thyroid gland is homoegenous – a “Hashi’s” gland would tend to be heterogeneous and show hypoechoic areas that send back ultrasound waves in a different way than healthy thyroid tissue. You have a couple of nodules on the isthmus, the middle part that joins the two lobes of the gland together.

  2. You can be hypo or hyper without having hashimoto. Nodules and goiters are big cause of thyroid disruption that is not autoimmune related. Technically, the only 100 percent diagnose for hashi is biopsy with lymphocytes showing in it. Catch 22 though as this usually being done to diagnose a nodule and is also how some cancers appear in pathology so for those who have antibodies and get biopsy showing lymphocytes in sample they can be inconclusive unless a partial thyroidectomy is done. Does this help?

  3. Are you taking thyroid hormones?

  4. I would assume your dr may do FNA biopsy of nodule i will look for link on info.. some nodules are hot some are cold some are calcified etc. The characteristics are most helpful in knowing if nodule is disrupting hormone functions. Yours states vascular. .

  5. http://emedicine.medscape.com/article/385301-overview#a1\n\nIll post another but this one has alot of term explanation

  6. I’m really wanting to avoid another biopsy at this point since I had one done in may 2014 and felt like it was harmful to my poor thyroid…they took out 8 specimens and it was so swollen afterwards.

  7. This ncbi entry is very technical but very informative as well. Whether benign or malignant its good to know what your report is interpreting to help guide your care with Dr well 🙂 i have an indeterminable nodule myself i chose to watch 6 months rather than partial removal. best to you http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266587/

  8. Did they see lymphocytes in sample? That will confirm hashi 100%

  9. What i would personally do if I was you:\nGet copy of last results of scan and biopsy.. go over with specialist to see have they changed in shape or size from last time done. \nThey should be reevaluated they are larger than 1 cm. I know you dont want another boipsy but that is best way to confirm if issue exists. Best to you

  10. Thanks Darlene 🙂 it means a lot

  11. Go see an endo, none of us our doctors

  12. Go see an endo, none of us our doctors

  13. She is seeing Dr. Unfortunately they usually hand us report only after we ask and give little feedback having us leave with even more questions. I had to research and ask questions myself for peace of mind. We are not Drs yes, but can offer feedback which can be comforting or empowering. Just keep being proactive Rachel Strandberg Richards

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