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There are so many threads about Thyroid Nodules I didn't want to start a new conversation.
One year ago I had a CT scan for an unrelated reason and the doctor reported a ~ 2cm nodule in my right thyroid and recommended a follow up ultrasound. I mentioned it to my PCP at the end of January, but he didn't order an ultrasound. Then I mentioned it again to him a month later, but no referral. I mentioned it to him for the third time in the beginning of last October during a regular checkup. Finally I had the ultrasound a month later.
According to the results I have three nodules in the right thyroid.
> 1. Right superior. 0.5 x 0.3 x 0.5 cm
Composition: solid: 2
Echogenicity: hypoechoic: 2
Echogenic Foci: None: 0
TI-RADS 4-6 points: TR4 = Moderately suspicious.
> 2. Right mid/posterior. 2.3 x 2.0 x 2.1 cm
Composition: mixed: 1
Echogenicity: hypoechoic: 2
Echogenic Foci: Macrocalcifications: 1
TI-RADS 4-6 points: TR4 = Moderately suspicious
> 3. Right mid/medial. 0.3 x 0.2 x 0.3 cm
Composition: Cystic: 0
Echogenicity: Anechoic: 0
Echogenic Foci: None: 0
TI-RADS 0 points: TR1 = Benign
I had a FNB (Fine Needle Biopsy) of the big nodule Dec. 5, 2025, which came back "Nondiagnostic". "Clinical notes: Right mid/posterior thyroid nodule 2.23 x 1.77 x 1.73 cm. ICD Code(s): E04.1." "Microscopic description: Smears and cytospin slides are reviewed and are nondiagnostic for evaluation due to low cellularity."
My PCP said that he could order another biopsy, but he decided to wait for 3 months and then do another ultrasound. He didn't refer me to an endocrinologist, but reading comments here I am thinking if I should talk to one. Are there any other tests or anything that could help diagnosis? I have not had thyroid hormones TSH, T3 or T4 checked.
I am worried about the'TR4 = Moderately suspicious' diagnosis. I am also thinking that my PCP might have a bit of a lax approach. I had high platelets 3-4 years, but it was my cardiologist who referred me to a hematologist. Early 2025 I was diagnosed with ET/JAK2.
I am looking forward to any helpful comments on my long (sorry) narration. Thank you.
- Hipsu 🙂
Replies to "There are so many threads about Thyroid Nodules I didn't want to start a new conversation...."
@hipsu5 I just spent a year going through this. I had so many nodules, some weren't even seen on ultrasound. It's important to see an endocrinologist. It took me over 6 months to get an appointment. Before that, I was able to see a PA in another endo's office. I seemed to be going in circles with the PA, test this, test that and test whatever again. At least I had all tests completed when I got to see the endo. Once I got in to see the endo, surgery was scheduled in about two months. I had a complete thyroidectomy 5 weeks ago. So far my skin is already improving and my digestion is much better. I hope you are able to see an endo. I also have ET (Jak2) for over 25 years. I take anegrelide for the et.
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@hipsu5
I have thyroid nodules since 1988. They are benign. Go to an endocrinologist. Your doc inaction is not good. I take Synthroid daily.