@jrmt26 Welcome to Mayo Connect, where patients share their health journeys and support one another along the way.

I understand you are worried about latest ultrasound, the radiologist's report, and whether it is too dismissive. Please take a deep breath, the report is not a bad one.

I understand your anxiety, we have been watching my thyroid nodules for almost 30 years now, and for the first few years I was very nervous. I had quite a few fine needle aspirations (FNA) - all uncomfortable and unremarkable. The nodules in each of my scans looks different from the previous ones in size and shape. Some nodules have disappeared entirely, while new ones have shown up.

You said "Then again, I'm not a doctor..." I'm not a doctor either, but maybe I can shed some light on how radiology reports work.

First, depending on the technician, their skill, and your positioning, thyroid nodules can appear very different from one scan to the next.

Next, the radiologist uses a template, a calculator (TIRADS), and experience to analyze the ultrasound and reports everything they see. It is apparent they had prior scans for comparison, they may have prior biopsy reports as well. You can learn about TIRADS scoring here:
https://radathand.com/radiology-calculators/body-imaging/tirads-calculator/
Finally, the endocrinologist uses all of that information, along with your medical history, to decide next steps. Your previous biopsy results, "Bethesda II" means benign - less than 2% risk for cancer, so that should be reassuring. Based on that, the radiologist seems comfortable with a longer follow-up. You and the endocrinologist may or may not agree.

If you are too anxious to wait for your appointment, maybe you can contact the doctor ahead of time on the patient portal for a preliminary reading?