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?

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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
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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
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Multiple nodular goitre TFT RAIU studies Usg neck
Multiple modular goitre
Thyroid goitre

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