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my ultrasound results, help please

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I went to get blood drawn because ive been on synthroid now for 7

weeks and go to the endo next week. My dr gave me a copy of my

ultrasound results. I'm not sure of all the findings or the

importance of any of it, i just know i have nodules. what do you

gather from it?

History: 30 yo w/ hypothyroidism

Findings: Real time examination demostrates normal size of both

thyroid lobes and abnormal echotexture with heterogeneity. Bilateral

small lower pole echogenic nodules. The right lobe measures

3.9x1.4x1.9 cm. Moderate hetergeneity of the echotexture. The left

lobe measures 4.5x1.7x1.7 cm with simalar moderate heterogeneity of

the echotexture.

In the left thyroid lobe there is a dominant nodule. This is

hyperechoic and measures 1.5x1.3x1.3 cm with a smoothly margainated

capsule. A similar but smaller hyperechoic nodule which is smoothly

marginated and appears to have sonolucent interface between the

adjacent thyroid lobe measures .4x.5x.5cm.

Impression: 1. Normal sized thyroid lobes with diffuse heterogeneity

of the echotexture. 2. Solid inferior pole nodules with the left

thyroid lobe measuring 1.5.

I would like to be a little more educated before i go to the endo

appt next week. any thoughts or concerns?

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