I have cough and pain while swallowing, and I can also feel a lump. What could be the cause?

Hello,

Welcome to icliniq.com.

I went through your ultrasound images (attachments removed to protect the patient's identity) and have made the following observations:

Discrete sub-centimetric nodules are seen in both the lobes of the thyroid, with a few in the left lobe showing foci of calcifications within them. In addition, there is a large well defined solid-cystic lesion in the left lobe of the thyroid (majorly cystic with solid components within it), containing few calcified foci. It is mainly involving the upper-mid pole region of the left lobe. On CDFI (color doppler flow imaging) there is evidence of peripheral flow, however, no internal vascularity is noted within the lesion. The left neck vessels are seen separately from this lesion and appear to be normal.

Different thyroid lesions can have similar imaging features on ultrasound as seen in your case, though lack of vascularity within the solid parts of this lesion is reassuring. MRI (magnetic resonance imaging) can differentiate between the different types. However, in order to reach a definite diagnosis, a biopsy of the lesion is required. The treatment will depend on the final diagnosis.

I hope I have been able to answer your query.

Take care.

Hi,

Welcome back to icliniq.com.

Though both ENT specialists and endocrinologists look into thyroid related diseases, I would suggest you consult an endocrinologist first in case you haven't already done so because in addition to looking into the thyroid lesion, he/she might assess your blood thyroid hormone levels as well. In case the lesion requires surgery, you will be referred to an ENT surgeon. You can ask the doctor if according to him, biopsy of the thyroid lesion is required. Once you have got a definite diagnosis in hand, thereafter various treatment options can be discussed with him.