Common "Hypoechoic Nodule" queries answered by top doctors | iCliniq

Hypoechoic Nodule

Hypoechoic nodule or thyroid nodules are lumps or bumps seen on the thyroid gland. They are commonly seen in patients with Hashimoto's thyroiditis and iodine deficiency. The treatment options are radiation therapy, chemotherapy, and radioactive iodine therapy.

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Can mixed spongiform thyroid nodules be a malignant one?

Query: Hello doctor, I am a female, 32 years old. I do not understand what my ultrasound report means. My gynecologist and PCP both felt a large mass on the right side of thyroid and told me that they have to refer me out and I need another biopsy. The last biopsy was a year back and it was benign. It was ...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that you have a thyroid nodule. According to the guidelines, if the nodule is more than 75 % of spongiform appearance, then they are benign and if less than 75% then there is a chance of malignancy wh...  Read Full »

What causes lymphadenopathy if the scan shows the absence of enlarged lymph nodes?

Query: Hello doctor, I took an ultrasound of the neck, and it says no enlarged lymph nodes, more hypoechoic areas, and have some fatty hila. The impression notes that there is reactive lymphadenopathy and to follow up after three months. I am not sure what is causing the lymphadenopathy, as the notes say ...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you have recently done a neck ultrasound. The report has suggested that reactivate lymphadenopathy is primarily hypoechoic, and some have fatty hila (attachments removed to protect the ...  Read Full »

I have nodules that are not too large. Is this normal?

Query: Hi doctor, Recently, I got an ultrasound done and found multiple nodules that have changed in shape and size. TIRADS 4 complexes mixed with large echogenic focus one nodule over two adjacent (0.35 X0.31X0.35) inch, and lobulated. Nodule two (0.31 X0.28X0.31) inch completely solid hypoechoic with a w...  Read Full »


Dr. Thiyagarajan. T

Answer: Hi, Welcome to icliniq.com. The nodules are low-risk ROM (risk of malignancy) which I could see in the pictures. Real-time imaging is always better. Which one of the nodules has the radiologist given TIRADS 4 score? Is nodule one (1.1X0.2X0.3) inch or nodule two is (0.35X0.31X0.35) inch? The hypoe...  Read Full »

Kindly interpret my USG report, with a hypoechoic lesion.

Query: Hello doctor,I am a 31-year-old. I was asked by my doctor to go for a USG for irregular periods. In the report it is mentioned as, a well defined oval hypoechoic lesion with mild intralesional vascularity measuring 48×44 mm is noted in the left adnexa, could be suggestive as left tubo ovarian mass....  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. There could be various differentials for tubo-ovarian mass-like lesions of infectious origin, such as a hydrosalpinx or tubo-ovarian abscess caused by pelvic inflammatory disease, physiologic or functional cysts, and endometriomas. The next best would be a per vagina...  Read Full »

From the attached USG report, can you tell me the risk of thyroid cancer?

Query: Hi doctor, My mom is 62 years old diabetic patient. The following details are her thyroid gland ultrasonography report. Thyroid gland is in the normal position. The size of the thyroid gland is increased and extends to the substernal area. In the right lobe of the thyroid gland, there is a cystic de...  Read Full »


Dr. Swaraj Waddankeri

Answer: Hi, Welcome to icliniq.com. The risk of cancer cannot be told exactly. Although the hypoechoic nodule, age and calcification are kind of in favor of malignancy. Ultrasonography of thyroid is not a sure test to diagnose malignancy. I would rather do FNAC (fine needle aspiration cytology) from both t...  Read Full »

What does a lump under collar bone on right side mean?

Query: Hello doctor, I consulted two doctors regarding a lump that I could feel above my left collarbone, whenever I strain or turn my neck. Both the doctors said that it was just a prominent tendon, but gave me an ultrasound to ease my mind. The ultrasound said 'there is a 6 by 4 mm hypoechoic nodule in ...  Read Full »


Dr. Uphar Gupta

Answer: Hello, Welcome to icliniq.com. There is a lymph node in the left supraclavicular region called as Virchow's node. If enlarged, it may indicate a malignancy of the abdominal region as that is the draining pathway of the lymph from that area. A lymph node from cancer is generally very hard to palpa...  Read Full »

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