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 🙂
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 🙂
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 🙂
@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.
@hipsu5 mentioned that there are lots of discussions about thyroid nodules. This particular discussion originated in 2019. I went to the first post and read through the entire thread (because I’m weird that way.)
There were SO many things that resonated with me and my family’s thyroid experiences.
About 25 years ago I was diagnosed with Graves Disease / hyperthyroidism. My symptoms included tons of energy, never hungry, unplanned weight loss and feeling hot all the time. I initially mistook it for early menopause thinking I was having hot flashes. I mentioned it to my endocrinologist (I’m diabetic) and upon testing she diagnosed the Graves Disease / hyperthyroidism. She treated it with a medication and cautioned me that over time it could flip to hypothyroidism. I have no medication currently and have normal thyroid levels. My Dr. continues to monitor.
About 18 years ago my husband had a chest x ray to rule out pneumonia when he was having upper respiratory symptoms. The provider that read the x ray noted “something suspicious” in the thyroid area. It was referred to our endocrinologist. After doing a biopsy of the thyroid she diagnosed a type of thyroid cancer. She told us that it was not aggressive, was treatable and was “one of the best cancers to have (if you had to have any)”. My husband had a complete thyroidectomy. My husband now takes synthroid / Levothyroxine. The endocrinologist continued to monitor doing follow up with scans and blood tests levels for many years then determined it to be resolved. Now our primary Dr. monitors the levels and adjusts the medication dose as needed.
Our daughter was diagnosed with thyroglossal duct cysts when she was in college. I’ve lost track of the timeline. These cysts were removed. Many years later she was diagnosed with hypothyroidism. She receives medication and monitoring for this and other things. She is in her forties now.
Last but not least my husband has had a choking, coughing, hacking, hocking throat clearly affliction for at least a decade maybe longer that has resisted diagnosis / treatment. We have been to our Primary Care (Adult Internal Medicine), ENT (Ears, Nose and Throat), Asthma / Allergy, Gastroenterology, Pulmonary & Sleep Medicine) and Speech Therapy. He currently has a referral to Psychiatry / Behavioral Health (but they are booking 2 months out and are full.) Presently he has been diagnosed with bronchiectases by Pulmonary. He has sprays & inhalers plus a nebulizer that takes an hour twice a day. He thinks these might be helping but I’m not convinced. We have too many sleepless nights when these symptoms interrupt our sleep up to 5 times a night.
I’m late to this discussion so I apologise if I’m repeating. About 35 years ago my thyroid was hyperactive. Docs found I had a multi nodular goitre. I was given radioactive iodine (a pill to swallow). No side effects. My thyroid calmed down and I didn’t have to take any medications. All is still well today.
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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 🙂
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1 Reaction@hipsu5
I have thyroid nodules since 1988. They are benign. Go to an endocrinologist. Your doc inaction is not good. I take Synthroid daily.
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2 ReactionsI had 1/2 my thyroid out from this. I do not need medicine yet.
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1 Reaction@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.
-
Like -
Helpful -
Hug
2 Reactions@hipsu5 mentioned that there are lots of discussions about thyroid nodules. This particular discussion originated in 2019. I went to the first post and read through the entire thread (because I’m weird that way.)
There were SO many things that resonated with me and my family’s thyroid experiences.
About 25 years ago I was diagnosed with Graves Disease / hyperthyroidism. My symptoms included tons of energy, never hungry, unplanned weight loss and feeling hot all the time. I initially mistook it for early menopause thinking I was having hot flashes. I mentioned it to my endocrinologist (I’m diabetic) and upon testing she diagnosed the Graves Disease / hyperthyroidism. She treated it with a medication and cautioned me that over time it could flip to hypothyroidism. I have no medication currently and have normal thyroid levels. My Dr. continues to monitor.
About 18 years ago my husband had a chest x ray to rule out pneumonia when he was having upper respiratory symptoms. The provider that read the x ray noted “something suspicious” in the thyroid area. It was referred to our endocrinologist. After doing a biopsy of the thyroid she diagnosed a type of thyroid cancer. She told us that it was not aggressive, was treatable and was “one of the best cancers to have (if you had to have any)”. My husband had a complete thyroidectomy. My husband now takes synthroid / Levothyroxine. The endocrinologist continued to monitor doing follow up with scans and blood tests levels for many years then determined it to be resolved. Now our primary Dr. monitors the levels and adjusts the medication dose as needed.
Our daughter was diagnosed with thyroglossal duct cysts when she was in college. I’ve lost track of the timeline. These cysts were removed. Many years later she was diagnosed with hypothyroidism. She receives medication and monitoring for this and other things. She is in her forties now.
Last but not least my husband has had a choking, coughing, hacking, hocking throat clearly affliction for at least a decade maybe longer that has resisted diagnosis / treatment. We have been to our Primary Care (Adult Internal Medicine), ENT (Ears, Nose and Throat), Asthma / Allergy, Gastroenterology, Pulmonary & Sleep Medicine) and Speech Therapy. He currently has a referral to Psychiatry / Behavioral Health (but they are booking 2 months out and are full.) Presently he has been diagnosed with bronchiectases by Pulmonary. He has sprays & inhalers plus a nebulizer that takes an hour twice a day. He thinks these might be helping but I’m not convinced. We have too many sleepless nights when these symptoms interrupt our sleep up to 5 times a night.
-
Like -
Helpful -
Hug
1 ReactionI’m late to this discussion so I apologise if I’m repeating. About 35 years ago my thyroid was hyperactive. Docs found I had a multi nodular goitre. I was given radioactive iodine (a pill to swallow). No side effects. My thyroid calmed down and I didn’t have to take any medications. All is still well today.