Larger THYROID in MRI. Is BIOPSY, CAT scan needed?

Resolved question:
I just had an MRI done on my neck and my doctor found my thyroid to be 10 times larger than normal. He has me seeing an endocrinologist where he said he will likely do an CAT scan and take a biopsy. He described my condition as serious and said that most likely I would be coming back to him for surgery. What questions should I ask the endocrinologist? I am a 47 year old male that is otherwise healthy.

Submitted: 4 Days
Category: Endocrinologist

Expert:  Dr. J Muthukrishnan replied 4 Days.

Hello,
Thank you for your query at DoctorSpring.com
You have a goiter, that's just an enlarged thyroid. You need to test thyroid functions by TSH, T4, T3 and tpo antibodies. Fine needle aspiration for cytology needs to be done too. Further treatment can be decided later.
Surgery is the last resort.
Kindly ask your endocrinologist and get the investigations done and get back to me with your values.
Regards.

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Patient replied :

So I had an ultra sound and he found noduals the left size was very large 4 cm by 4 cm by 4 cm he saw some bloodflow though the nodual that he desribed as suspicious but not nessarily cancer then he looked at the right side and he saw a nodual that was much smaller but looked more suspicious. He said that regardless of whether it is cancerous I would need surgery because the left side is starting to obstruct my airway. He is doing all the test excpet the t3 test and I get the neddle test into each nodual next Wednesday. ANything else I should ask?


Expert:  Dr. J Muthukrishnan replied 3 Days.

Yes, you will require surgery as nodule is 4cm irrespective of your needle test. It is the only way to definitively exclude cancer of thyroid.
Regards.

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