Thyroid ultrasound
Ultrasound - thyroid; Thyroid sonogram; Thyroid echogram
A thyroid ultrasound is an imaging method to see the thyroid, a gland in the neck that regulates metabolism .
Metabolism
Metabolism refers to all the physical and chemical processes in the body that convert or use energy, such as:BreathingCirculating bloodControlling bo...
How the Test is Performed
Ultrasound is a painless method that uses sound waves to create images of the inside of the body. The test is usually done in the ultrasound or radiology department. It also can be done in a clinic.
Ultrasound
Ultrasound uses high-frequency sound waves to make images of organs and structures inside the body.
The test is done in this way:
- You lie down with your neck on a pillow or other soft support. Your neck is stretched slightly.
- The ultrasound technician applies a water-based gel on your neck to help with transmit the sound waves.
- Next, the technician moves a wand, called a transducer, back and forth over the area. The transducer gives off sound waves. The sound waves go through your body and bounce off the area being studied (in this case, the thyroid gland). A computer looks at the pattern that the sound waves create when bouncing back, and creates an image from them.
How to Prepare for the Test
No special preparation is necessary for this test.
How the Test will Feel
You should feel very little discomfort with this test. The gel may be cold.
Why the Test is Performed
A thyroid ultrasound is usually done when physical exam shows any of these findings:
-
You have a growth on your thyroid gland, called a
thyroid nodule
.
Thyroid nodule
A thyroid nodule is a growth (lump) in the thyroid gland. The thyroid gland is located at the front of the neck, just above where your collarbones m...
-
The thyroid feels big or irregular, called a
goiter
.
Goiter
A simple goiter is an enlargement of the thyroid gland. It is usually not a tumor or cancer.
- You have abnormal lymph nodes near your thyroid.
Ultrasound is also often used to guide the needle in biopsies of:
-
Thyroid nodules or the thyroid gland
. In this test, a needle draws out a small amount of tissue from the nodule or thyroid gland. This is a test to diagnose thyroid disease or thyroid cancer.
Thyroid nodules or the thyroid gland
Fine needle aspiration of the thyroid gland is a procedure to remove thyroid cells for examination. The thyroid gland is a butterfly-shaped gland lo...
- The parathyroid gland.
Normal Results
A normal result will show that the thyroid has a normal size, shape, and position.
What Abnormal Results Mean
Abnormal results may be due to:
- Cysts
-
Enlargement of the thyroid gland (
goiter
)
Goiter
A simple goiter is an enlargement of the thyroid gland. It is usually not a tumor or cancer.
-
Thyroid
nodules
Nodules
Skin nodules are solid or cystic raised bumps in the skin that are wider than 1 centimeter (cm), but less than 2 cm.
- Thyroiditis, or inflammation of the thyroid (if a biopsy is done)
-
Thyroid cancer
(if a biopsy is done)
Thyroid cancer
Thyroid cancer is a cancer that starts in the thyroid gland. The thyroid gland is located inside the front of your lower neck.
Your health care provider can use these results and the results of other tests to direct your care.
Risks
There are no documented risks of ultrasound.
References
Blum M. Thyroid imaging. In: Jameson JL, De Groot LJ, eds. Endocrinology: Adult and Pediatric . 7th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 79.
Salvatore D, Davies TF, Schlumberger MJ, Hay ID, Larsen PR. Thyroid physiology and diagnostic evaluation of patients with thyroid disorders. In: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Textbook of Endocrinology . 13th ed. Philadelphia, PA: Elsevier; 2016:chap 11.
-
Thyroid ultrasound - illustration
Thyroid ultrasound is a sound wave picture of the thyroid gland taken by a hand-held instrument and translated to a 2-dimensional picture on a monitor. It is used in diagnosis of tumors, cysts or goiters of the thyroid, and is a painless, no-risk procedure.
Thyroid ultrasound
illustration
-
Thyroid ultrasound - illustration
Thyroid ultrasound is a sound wave picture of the thyroid gland taken by a hand-held instrument and translated to a 2-dimensional picture on a monitor. It is used in diagnosis of tumors, cysts or goiters of the thyroid, and is a painless, no-risk procedure.
Thyroid ultrasound
illustration
Review Date: 2/3/2016
Reviewed By: Brent Wisse, MD, Associate Professor of Medicine, Division of Metabolism, Endocrinology & Nutrition, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.