Thyroid ultrasound indicating potential malignancy?

Question

Hi doctor,

I felt two lumps in my throat next to my thyroid, so I was sent for a thyroid and lymph node ultrasound. For over a year, my symptoms, like fatigue, sweating, lack of concentration, etc., have slowly worsened.

Is there any indication of a potential malignancy?
Can you please review my reports and give me your opinion on them?

I am attaching my reports.

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have seen your reports (attachment removed to protect patient identity).

There is a dark area in the right lobe of the thyroid, about which I am concerned. Usually, thyroid nodules are of different types, and cancer cannot always be predicted from an ultrasound scan. The nodule that you have is not well-defined.

Cancer risk can be calculated from the cell types in the FNAC (fine needle aspiration cytology), which is a needle test. It is recommended to get an FNAC done from the nodule in the right lobe of the thyroid, and then, depending on the report, I will suggest another thyroid ultrasound scan.

If FNAC findings are benign, a three-year annual follow-up ultrasound scan for thyroid nodules is usually recommended.

I hope it helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Thanks for writing back with an update.

Yes, the dark area in the right lobe is the nodule that I am referring to, and the margins are not sharp enough to be called well-defined. There are also smaller nodules that are tiny. There is a lymph node-like structure anterior to the right internal jugular vein, which is small in size.

I am unable to precisely measure it on the image. There are no large lymph nodes as such in the images sent.

I hope it helps.

Thank you.