Multi-nodular goiter

53-year-old female presented with dry cough and throat tightness & discomfort. Has previously been treated for sinusitis and GERD, with no relief. Not on any medications. Updated labs reveal WNL thyroid function labs, with a TPO of >600. Thyroid US reveals multi-nodular goiter with a TRads 3. Suggestions?

Multiple nodular goitre With ANITPO is > 600 significant Likely a c/o thyoditis to be kept under observation and regular screening
Thanx dr Ashok Leel

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Multiple nodular goitre. Needs further investigation and evaluation to conclude and keep thyroiditis evaluation regularly.
Thanks Dr Shivraj Agarwal
Thyroid profile normal and TPO( thyroid peroxidase antibody the market for presence autoimmune thyroid disease. It is positive in more than 90% of pt with chronic lymphocytic thyroiditis also known as Hashimoto' s disease. When the TPO antibody is high in patient they are more prone to develop thyroid dysfunction but all donot develop hypothyroid. Thyroid nodules are very common in Hashimoto' s disease of which 5% may be malignant . TIRAD3 is mostly benign in natureAs the pt is having some problem may be due to pressure effect CT to rule out pressure effect Radio active iodine test / FNAC to rule out malignancy. Treatment to decide as per the report.
Euthyroid , enlarged thyroid , multinodular goiter, Throud antibodies positive, TIRAD 3, indicating most likely benign with < 5% chance of malignancy CT neck to rule out tracheal compression FNAC thyroid, Thyroid nuclear scan Suggest Thyroidectomy
Hamsapathyadi kashayam and Kanchanaraglggulu two times a day .Varunadi kashayam also two times a day .External application Nandhiyarvattadi lepam.
@Krishnan Pichumani is right
Thank you, Dr Zaka Yusto
Multiple nodular goitre TFT RAIU studies Usg neck
Multiple modular goitre
Thyroid goitre

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