I was diagnosed with a lingual thyroid in my mid twenties, hypothyroid and have been on synthroid since that time. Recently, my thyroid levels have fluctuated a great deal and it may be related to hormones, (menopause). Is it common or suggested that a specialist take photos or images of the mass in order to establish a baseline? Is it common to experience fluctuations while on synthroid hyper and hypo? These seem to shift about every 4-6 months, with an accompanying adjustment in dosage. The last two times, I have been hyperthyroid and just want to rule out functional problems with lingual thyroid. Also having difficulty catching my breath and hoarseness. There is a shortage of endocrinologists in my city, and most of them have never treated someone with a lingual thyroid, just read about it in the literature. They have tried to visually see the thyroid gland at the my base of my tongue, but it is not necessarily always visible.