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I have been diagnosed since June '03. I did take an RAI uptake scan

as the doctor felt it was neccessary for treatment. He understands I

am not having an RAI. Here are the results and I am midly pleased

(which could be ignorance is bliss). Here it is and please tell me

what you think : " The Thyroid gland is enlarged. The estimated

weight of the thyroid gland is 56 grams. There is heterogeneous

uptake noted within the thyroid gland which may represent a

multinodular goiter. The 24-hour uptake is midly elevated at 49%.

Impression:

1. Enlarged thyroid gland with heterogeneous uptake, which may be

secondary to multinodular goiter.

2. The 24-hour uptake is moderately elevated at 49%. If the patient

is clinically hyperthyroid, this may represent a toxic multinodular

goiter. "

Tomorrow, I am at endo. to get my blood test results. He did order

free t tests and antibody tests. Could this mean I just have a sick

thyroid and not Graves disease? I am checkingmy books as soon as I

am done here. I have faith in you all as you have calmed me down

with your writings. Thank you. Joey

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Hi Joey, and welcome!

I'm pretty new here myself, but from what I've learned so far, it

sounds as if you've got a decent endo and he is running the proper

tests. It's my understanding that the anti-body test (TSI) is the one

that will tell you if you have Graves.

There is a " Letter to the newly diagnosed " and other useful info that

you can find in the Files here, that you may find helpful.

Others in the group will write and tell you more than I can.

Good luck,

-

> I have been diagnosed since June '03. I did take an RAI uptake scan

> as the doctor felt it was neccessary for treatment. He understands

I

> am not having an RAI. Here are the results and I am midly pleased

> (which could be ignorance is bliss). Here it is and please tell me

> what you think : " The Thyroid gland is enlarged. The estimated

> weight of the thyroid gland is 56 grams. There is heterogeneous

> uptake noted within the thyroid gland which may represent a

> multinodular goiter. The 24-hour uptake is midly elevated at 49%.

>

> Impression:

> 1. Enlarged thyroid gland with heterogeneous uptake, which may be

> secondary to multinodular goiter.

> 2. The 24-hour uptake is moderately elevated at 49%. If the

patient

> is clinically hyperthyroid, this may represent a toxic multinodular

> goiter. "

>

> Tomorrow, I am at endo. to get my blood test results. He did order

> free t tests and antibody tests. Could this mean I just have a sick

> thyroid and not Graves disease? I am checkingmy books as soon as I

> am done here. I have faith in you all as you have calmed me down

> with your writings. Thank you.

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Hi Joey,

Graves' disease is the most common cause of hyperthyroidism, and toxic

multinodular goiter (MNG) is the second most common cause. Nodules can trap

excess

iodine and produce excess thyroid hormone. According to the College of American

Pathologists hyperthyroidism, nodules in MNG can be reduced and

hyperthyroidism resolved with a low iodine diet. Anti-thyroid drugs, which help

block

iodine absorption, are also widely used in MNG.

The antibody tests will be useful in telling if you have Graves' disease in

addition to MNG. Take care, Elaine

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