Sonographic Findings in Hypothyroidism | Thyroid Nodules & Differential Diagnosis
“Sonographic Findings in Hypothyroidism | Thyroid Nodules & Differential Diagnosis” Findings Thyroid gland: Right lobe: Mildly enlarged (44.5 × 16.1 × 19.3 mm). Left lobe: Mildly enlarged (43.4 × 13.3 × 17.5 mm). Isthmus: Normal thickness (3.2 mm). Lesions: Bilateral multiple complex nodules of varying echogenicity and morphology. Some nodules are homogeneous hypoechoic, round to oval with thin halo. Some nodules are hyperechoic with thick peripheral halo. Some nodules are complex with internal cystic component. No obvious extrathyroidal extension or suspicious cervical lymphadenopathy noted. IMPRESSION Multinodular goiter with variable sonographic appearances of nodules. Features are suggestive of a benign process in majority (halo, cystic degeneration, hyperechoic nodules). However, given heterogeneity, possibility of underlying thyroid neoplasm in one of the nodules cannot be excluded. Correlation with thyroid function tests (T3, T4, TSH) and clinical hypothyroidism status is advised. Differential Diagnosis Multinodular goiter with degenerative changes (most likely). Thyroid adenomas (follicular adenoma – hypoechoic with halo). Hashimoto’s thyroiditis with nodularity (if background hypoechoic parenchyma, heterogeneous texture). Less likely but should be excluded: Papillary thyroid carcinoma (especially if microcalcifications, irregular margins, taller-than-wide shape, increased central vascularity). Follicular neoplasm (if solid hypoechoic with thick halo). Suggestions Correlate with TSH, T3, T4, Anti-TPO antibody to evaluate autoimmune thyroiditis. Consider USG-guided FNAC (fine-needle aspiration cytology) of the dominant or suspicious nodules (especially those with solid hypoechoic appearance, irregular thick halo, or internal microcalcification if present). Follow-up ultrasound in 6–12 months if nodules are stable and benign-appearing. Referral to endocrinologist for comprehensive management of hypothyroidism and further evaluation of nodules. Disclaimer This video is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for any questions regarding your health condition. #ThyroidUltrasound #Hypothyroidism #ThyroidNodules #Radiology #UltrasoundReport #Endocrinology #ThyroidCare #MedicalEducation #Sonography #ThyroidHealth thyroid ultrasound, hypothyroidism ultrasound, multinodular goiter, thyroid nodules, complex thyroid nodule, thyroid adenoma, thyroid cancer ultrasound, hashimoto thyroiditis ultrasound, sonography report thyroid, ultrasound case study, thyroid gland imaging, endocrinology case, thyroid radiology, thyroid health, thyroid swelling, ultrasound of thyroid, thyroid diagnosis, ultrasound thyroid nodules, thyroid report example, thyroid usg, thyroid gland enlargement, thyroid complex mass, thyroid lesion ultrasound, benign thyroid nodules, thyroid case discussion, radiology thyroid, usg report thyroid, thyroid mass sonography, thyroid gland sonography, thyroid medical education
