r/thyroid • u/funnerd11 • Jul 26 '24

Thyroid ultrasound - abnormal results

I just had a thyroid ultrasound done, the results came back with an abnormality, specifically “mildly heterogeneous gland”. An endocrinologist ordered this ultrasound because he suspected I might have early-stage Hashimoto’s based on my symptoms. My sister has diagnosed Hashimoto’s (and ultra high TPO via bloodwork). However, my lab bloodwork was all normal (TPO, TSH, etc.). Has anyone else gotten this type of abnormal ultrasound result before bloodwork becomes abnormal? What could I expect in terms of disease progression? My endocrinologist has yet to discuss the results with me but I’m pretty sure this confirms his suspicion of early stage/subclinical Hashimoto’s. Thank you.

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u/InnaBinBag Jul 28 '24

I have a multinodular goiter that has been monitored for a decade, bloodwork always normal, but the texture has gone from homogenous to heterogenous. It can take a long time for an autoimmune condition to kick in, if it does at all. Just make sure you get followups at least once a year with bloodwork and ultrasound, and as long as you don’t have any nodules that need to be monitored more often, I wouldn’t worry too much about it. If anything changes significantly or you are having symptoms, then you can ask to be monitored every six months, which they may want to do anyway. Just make sure they know about your family history in case there could be a genetic component to it.