帮我看看问题大吗？还需要进一步检查吗？多谢 EXAM: ULTRASOUND THYROID HISTORY: Thyrotoxicosis. History of FNA or ethanol ablation: None known. TECHNIQUE: Realtime sonographic imaging was performed of the thyroid gland assessing grayscale and color Doppler flow appearance using a high frequency linear transducer. COMPARISON: None available. FINDINGS: The right lobe measures 4.3 x 0.9 x 1.1 cm. The left lobe measures 3.8 x 1.2 x 1.1 cm. The isthmus measures 0.2 cm. Overall thyroid parenchyma demonstrates mildly heterogeneous echotexture with normal vascularity. NODULES: No discrete cystic or solid nodules are visualized. Survey images of the neck demonstrate no evidence of lymphadenopathy. IMPRESSION: Mildly heterogeneous thyroid gland, suggestive of sequela of thyroiditis. American College of Radiology TI-RADS Categories and Recommendations (2017): TR1: 0 points, Benign, No FNA TR2: 2 points, Not suspicious, No FNA TR3: 3 points, Mildly suspicious, FNA if > or = 2.5 cm, Follow if > or = 1.5 cm TR4: 4-6 points, Moderately Suspicious, FNA if > or = 1.5 cm, Follow if > or = 1.0 cm TR5: 7+ points, Highly Suspicious, FNA if > or = 1.0 cm, Follow if > or = 0.5 cm Follow-up ultrasound guidelines: TR5: yearly for 5 years, if no growth or change in TI-RADS level TR4: at 1, 2, 3 and 5 years, if no growth or change in TI-RADS level TR3: at 1, 3 and 5 years, if no growth or change in TI-RADS level If change but below threshold for FNA, repeat in one year. Source: ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee. Tesler et al., J Am Coll Radiol 2017;14:587-595.
EXAM: ULTRASOUND THYROID
HISTORY: Thyrotoxicosis.
History of FNA or ethanol ablation: None known.
TECHNIQUE: Realtime sonographic imaging was performed of the thyroid gland assessing grayscale and color Doppler flow appearance using a high frequency linear transducer.
COMPARISON: None available.
FINDINGS:
The right lobe measures 4.3 x 0.9 x 1.1 cm. The left lobe measures 3.8 x 1.2 x 1.1 cm. The isthmus measures 0.2 cm. Overall thyroid parenchyma demonstrates mildly heterogeneous echotexture with normal vascularity.
NODULES:
No discrete cystic or solid nodules are visualized.
Survey images of the neck demonstrate no evidence of lymphadenopathy.
IMPRESSION:
Mildly heterogeneous thyroid gland, suggestive of sequela of thyroiditis.
American College of Radiology TI-RADS Categories and Recommendations (2017): TR1: 0 points, Benign, No FNA TR2: 2 points, Not suspicious, No FNA TR3: 3 points, Mildly suspicious, FNA if > or = 2.5 cm, Follow if > or = 1.5 cm TR4: 4-6 points, Moderately Suspicious, FNA if > or = 1.5 cm, Follow if > or = 1.0 cm TR5: 7+ points, Highly Suspicious, FNA if > or = 1.0 cm, Follow if > or = 0.5 cm
Follow-up ultrasound guidelines: TR5: yearly for 5 years, if no growth or change in TI-RADS level TR4: at 1, 2, 3 and 5 years, if no growth or change in TI-RADS level TR3: at 1, 3 and 5 years, if no growth or change in TI-RADS level If change but below threshold for FNA, repeat in one year.
Source: ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee. Tesler et al., J Am Coll Radiol 2017;14:587-595.
Need to do blood work to check hormone such as T3 T4 TSH to rule out thyroiditis