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Ultrasound of thyroid suggests diffuse thyroid enlargement with small nodules. What does it mean?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shaikh Sadaf

Medically reviewed by

Dr. Vinodhini J.

Published At March 24, 2020
Reviewed AtSeptember 4, 2023

Patient's Query

Hi doctor,

I am a male of 39 years. I went for an ultrasound for my thyroid and the result is diffuse thyroid enlargement with small solid nodules consider adenomatous thyroid hyperplasia. My T3 result is 2.59, T4 135.4 and TSH 17.34, this result was taken before two months. After a month, I took T3, and T4 again resulting in T3 2.52 and T4 95.59. The last clinic gave me a food supplement black cumin seeds oil and vitamin D3. My question now is what does the ultrasound mean?

Answered by Dr. Shaikh Sadaf

Hello,

Welcome to icliniq.com.

I just read your query and from what you have mentioned it appears that you had enlarged thyroid gland due to hyperthyroidism and the ultrasound also meant that the thyroid gland was enlarged simply because it was hyperfunctioning. And now that you are on medications which can possibly help them with normalization of their function and they might as well likely reduce the size of the gland as well.

I hope this helps.

Patient's Query

Thank you doctor,

What medication will you recommend for my condition?

Answered by Dr. Shaikh Sadaf

Hi,

Welcome back to icliniq.com.

You will have to continue the same medication Methimazole 5 mg once daily and Propranolol 20 mg as before. Repeat your thyroid function test after again TSH included after six weeks and then we will review again.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shaikh Sadaf
Dr. Shaikh Sadaf

Endocrinology

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