J ultrason 2013 Jun;13(53):202-11, Gandage SG and Kachewar SG: An Imaging Panoram of Salivary Gland Lesions as seen on High Resolution Ultrasound J Clin Diagn Res. Hyperthyroidism can be treated with medication that stops the production of thyroid hormone, radioactive iodine, or removal of thyroid gland tissue. 2. HT and fibrosis. (2016). It may help to see a specialist. Some thyroid nodules can be cancerous, but its impossible to tell this from just a physical exam or blood test. Cell populations include: transformed follicular cells (Askanazy/oxyphilic/Hurthle cells), antithyroglobulin antibodies:found in ~70% of cases 2, thyroid peroxidase antibodies (TPO):found in 90-95% of cases 2. what does that mean? In six weeks he wants T4, free and T3, free and TSH 3rd generation. January 2016, 26(1): 1-133. doi:10.1089/thy.2015.0020. That is why they do antibody blood tests. Carver College of Medicine Cystic (fluid-filled). 2022 - 2023 Times Mojo - All Rights Reserved Reference article, Radiopaedia.org (Accessed on 02 Mar 2023) https://doi.org/10.53347/rID-8923. You do have Hypothyroidism from your TSH if it is 96. In this context, annotation back-references refer to codes that contain: This is the American ICD-10-CM version of. it says heterogeneous thyroid gland. Yeh H, Futterweit W, Gilbert P. Micronodulation: Ultrasonographic Sign of Hashimoto Thyroiditis. The isthmus measures less than 4 to 5 mm. Behind the thyroid parenchyma, a type B gland is a superior gland that is exophytic to the thyroid parenchyma and has fallen posteriorly into the tracheoesophageal groove. What does a small heterogeneous hypervascular thyroid mean with 12mm nodule on right? Clin Radiol. AJR Am J Roentgenol. SED RATE is also a test to see if there is inflammation in the body due to disease like autoimmune. HT can be identified with ultrasound by hypoechoic changes in the thyroid (Figs. Lymph nodes are hypo echoic or anechoic; muscles are hypo echoic with striate structure; fat is usually anechoic, Echogenecity=even(fine echotexture is normal for parotid/smg) orcoarse(ueven echotexture seen after I131 therapy in ~ 50% of parotid glands), Heterogeneityof Echo Signal = Heterogeneity defined for Sjogrens syndrome by: "hypoechoic areas, lines or spots or hyoechoic areas surrounded by hyperechoic lines and/or spots resembling a reticular or honeycomb image" (Saied 2013), color Doppler: flow toward the probe = red; flow away from the probe = blue (mnemonic:BART= Blue Away, Red Toward), Transverse= Perpendicular to the long axis of the patient (termed axial for CT imaging), Longitudinal= Parallel to the long axis of the patient (termed sagittal for CT imaging), Angle of incidence: the angle at which US waves encounter the surface of a structure - best images with angle of incidence = 90 degrees (perpendicular), Anisotropy: a tissue property responsible for US reflection even with mild changes in angleof incidence. (, HT with a pyramidal lobe that mimics a nodule. Well, I can answer a couple of those questions. Examples: Bone has a bright hyperechoic rim and black or anechoic center because ultrasound casts and acoustic shadow beyond it. Notes on Is HETEROGENEOUS Thyroid normal? Hyperthyroidism (overactive thyroid): Symptoms. By using our website, you consent to our use of cookies. Doctors typically provide answers within 24 hours. So get the antibodies test done and that will let us know for sure. It is one of the most So it is not safe to rely upon them completely. A diffusely heterogeneous thyroid gland a typical finding with autoimmune thyroid disease such as Hashimoto's thyroiditis or Graves' disease. Heterogeneous refers to a structure with dissimilar components or elements, appearing irregular or variegated. Pathological processes involving the thyroid gland. it says heterogeneous thyroid gland. diffusely heterogeneous thyroid gland without discrete dominant nodules." the size of lymph nodes in the neck on sonograms as a radiologic criterion for metastasis: how reliable is it? Heterogenous in my medical dictionary means uniform in structure. Pain in the front of the neck, sometimes going up to the ears. You can ask for a referal to an Endo if you wish. Medscape Web site. Although the standards discussed herein reflect the University of Iowa's head and neck protocols, reliance on any information provided herein is solely at your own risk. Radiopaedia Web site. What are early warning signs of thyroid cancer? Sometimes your doctor might suggest watching and waiting to see if the goiter gets bigger. No nodules were seen. Subacute granulomatous thyroiditis (also known as giant cell thyroiditis, subacute thyroiditis, or de Quervain's thyroiditis) is the most common cause of thyroid pain. An enlarged, mildly hypoechoic thyroid with heterogeneous with micronodular change. I don't want to wait ANOTHER six weeks. Thyromegaly is a disorder in which the thyroid gland the butterfly-shaped gland in the neck becomes abnormally enlarged. All rights reserved. The contents of this web site are for information purposes only, and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Last medically reviewed on August 29, 2017. Heterogeneous appearance thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what does this mean? Yes the TPOA antibody test is a good test and is reliable to detect autoimmune disease of the thyroid. (, Hypoechoic micronodular change surrounding more normal parenchyma, Tubercle of Zuckerkandl (posterior lateral thyroid tissue). Thyroid nodules associated with Hashimoto thyroiditis: assessment with US. The involved lobe appears heterogeneous and hypoechoic. Anderson L, Middleton W, Teefey S et al. Posted Cancer stat facts: Thyroid cancer. Clinical thyroidology for patients. Experiencing irregular menstrual periods or having your menstrual cycle stop. Thyroid gland slightly enlarged but has homogeneous texture. is your body fighting off a thyroid disease? All Rights Reserved J Ultrasound Med. The biopsy causes very little pain. thx. It is one of your endocrine glands, which make hormones. Hashimotos thyroiditis is more common and is caused by hypothyroidism, which is an underactive thyroid gland. 3.4 to 3.7 cm. A pseudonodule (, Giraffe pattern of HT and HT pseudonodule type 3. 8. Knipe H, Weerakkody Y. Graves disease. 1 doctor answer 1 doctor weighed in Share Dr. Philip Kern answered Endocrinology 45 years experience Thyroid US results: It is hard to interpret a thyroid ultrasound, especially online. I misread it. An ultrasound may show your doctor if a lump is filled with fluid or if its solid. I have terrible symptoms and after all the non/misdiagnoses am ready to get some relief! Heterogeneous echogenicity of the thyroid gland significantly lowers the specificity, PPV, and accuracy of US in the differentiation of thyroid nodules. A condition that increases the size of your thyroid is called a goiter. Nucl Med Commun. Other symptoms include neck pain that may radiate up to your ears or a persistent cough not caused by illness. If all of your thyroid gland is removed, youll need lifelong treatment with thyroid hormone replacement medication. Examining the individual nodular areas in transverse and sagittal views did not show distinct nodules. Examples are: mixtures of sand and water or sand and iron filings, a conglomerate rock, water and oil, a salad, trail mix, and concrete (not cement). is it cancerous? Basics of examination (American College of Radiology, 2013). I thought it was 0.96 my bad. To learn more, please visit our. Learn about potential causes of thyroid nodules, from benign tissue overgrowth to, Serotonin-producing 5-HTP supplements have become increasingly popular for their variety of health benefits. Egton Medical Information Systems Limited. no discrete nodules within the thyroid gland although, heterogeneous echogenicity of the thyroid gland is noted. Hoarseness or other voice changes that do not go away. Blum M. Ultrasonography of the Thyroid. For these, please consult a doctor (virtually or in person). Web Privacy Policy | Nondiscrimination Statement. Colour Doppler study usually shows normal or decreased flow, but occasionally there might be hypervascularity andmay demonstrate a "thyroid inferno" pattern whichconsists of multiple small areas of colour flow seen diffusely throughout the gland representing increased vascularity and arteriovenous shunting. Isn't 96 very high? Many people have thyroid issues and have ultrasounds that can show a multitude of issues. Radiographic abnormality detected on other imaging studies (e.g. Follow-up of previously detected thyroid abnormalities and after surgical ortherapeutic(e.gradioactiveiodine) interventions. (n.d.). Having an enlarged thyroid gland or a goiter. Hashimoto Thyroiditis: Part 1, Sonographic Analysis of the Nodular Form of Hashimoto Thyroiditis. While they can cause or be related to other conditions, typically multinodular goiters themselves arent a life-threatening condition. 12. This causes the nodules to shrink and signs and symptoms of hyperthyroidism to subside, usually within two to three months. Hashimoto Thyroiditis: Part 2, Sonographic Analysis of Benign and Malignant Nodules in Patients With Diffuse Hashimoto Thyroiditis. Pulse and heart rate. If you have a toxic multinodular goiter, which makes too much thyroid hormone, you might have symptoms of hyperthyroidism. Background: Heterogeneous echogenicity of the thyroid gland has been associated with diffuse thyroid disease and benign and malignant nodules can coexist with diffuse thyroid disease. I have small nodules on my thyroides. Doctors use radioactive iodine to treat hyperthyroidism. dyspnea, dysphagia, dysphonia). The TPOA antibodies test isdone for Hashimoto's and Graves disease. The normal thyroid weighs approximately 15 to 25 g, with each lobe4 to 6 cmin length and1.3 to 1.8 cmin thickness. Thyroid Ultrasound: a common imaging test used to evaluate the structure of the thyroid gland. WebEnlarged Hypervascular Gland with Coarse Strands: A diffusely enlarged, heterogeneous thyroid gland is seen in this 30 year old hypothyroid female patient. The most common forms of thyroiditis will be covered in this chapter: Hashimotos thyroiditis, Graves thyroiditis, subacute thyroiditis, and Riedels thyroiditis. From: Surgery of the Thyroid and Parathyroid Glands (Third Edition), 2021 Colloid Adenoma Neoplasm Papillary Thyroid Cancer Follicle Lesion (. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Endocr J. You will probably get a full thyroid panel blood test next to have a look to see if any antibodies are present - i.e. Learn how a neck check you can do at home may help detect thyroid cancer. [Updated 2015 Sep 28]. Other Words from heterogeneous Synonyms & Antonyms More Example Sentences Learn More About heterogeneous. He Said my ultrasound is normal. Floyd J. Thyrotoxicosis imaging. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Heterogeneous thyroid is really just a fancy way of saying that things are not uniform in the thyroid. Most of us have hear the term homogenous, which means the same or alike in context. Heterogeneous thyroid means just the opposite not alike or inconsistent with the surrounding parts or tissue. : consisting of dissimilar or diverse ingredients or constituents : mixed an ethnically heterogeneous population. We avoid using tertiary references. Unable to process the form. Your thyroid is a gland in your neck that makes hormones that control many bodily functions. AJR:201, July 2013, Bozzetto A, Hertel V, Bumm K, Iro H, Zenk J: Salivary stimulation with ascorbic acid enhances sonographic diagnosis of obstructive sialadenitis. Up to 20 percent of people with multinodular goiters will also develop thyroid cancer. Is the gland normal is size or enlarged? A constant cough that is not due to a cold. It was first described in 1912 by Hakaru Hashimoto(1881-1934), a Japanese physician 7 while working in Germany; in his original description, he called it 'struma lymphomatosa'13. patients are at higher risk for papillary thyroid carcinoma, so a discrete nodule should be considered for biopsy, subacute granulomatous (de Quervain) thyroiditis, ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. 17. https://patient.info/forums/discuss/is-heterogeneous-thyroid-normal--483899. High frequency probes(10-15 MHz) are best for US imgagin of superficial structures (2-4 cm), Mid frequency probes(5-10 MHz) preferred for slightly deeper structures (5-6 cm), Low frequency probes(2-5 MHz) preferred for deeper still (i.e. I was concernedif my thyroid is causing my breathing to be hard and face feeling full when I look down. 1992;185 (1): 125-30. Any TSH over 10 is hypothoiridic and needs at least 125 mcg of T4 for starters. It is the antonym for homogeneous, meaning a structure with similar components. Biopsies a Heterogeneous gland means you don't have a smooth gland. The presence and size of any abnormal lymph node in the lateral compartment of the neck. What is diffusely heterogeneous thyroid gland mean? Takashima S, Fukuda H, Tomiyama N, Fujita N, Iwatani Y, Nakamura H. Hashimoto Thyroiditis: Correlation of MR Imaging Signal Intensity with Histopathologic Findings and Thyroid Function Test Results. Sorry! It is one of the most common thyroid disorders. Sometimes they use a SED RATE test which measures inflammation in the body to determine autoimmune. 10 cm), Small footprint probe: narrow probe - advantage for in-plane needle placement (allows operator to place needle entry closer to target) - disadvantage relative to, Larger footprint probeprovides a wider picture and better lateral resolution, Gain: most US machines have an 'auto-gain knob - some have gain modes designed for structures ('nerve'/'angio'/'general') but usually not needed if appropriate probe and depth selected, Depth: reasonable to set a greater depth reading initially to get the 'big picture' and the decrease the depth when the targeted structure is found - usually1 cm deeper that the target to be injected, Probe Manipulation: mnemonic PART (Pressure, Alignment, Rotation and Tilt), Pressure:affects echogenicity of the tissue (also shortens distance to structure of interest), Alignment:'sliding' - find the structure of interest and position it optimally on the screen for needle advancement, in the middle of screen for 'out-of-plane'approach, out-of-plane with long axis of needle directed across the scanning plane (out-of-plane needling commoner catheter placement), out-of-plane needle advancement often warrants dynamic tilting or sliding of the transducer when advancing the needle to help track the tip of the needle - visualizing the tip of the needle is challenging but essential, 'hydrolocation'- small volume of saline or destrose can be injected to serve as needle tip locator, somewhat on the opposite side of the screen for 'in-plane' approach, in-plane approach: needle can be seen on the US monitor in the long-axis view (in-plane needling common for single injections), larger needles designed for enhanced echogenicity enhances visualization - also if more favorable angle of incidence is employed, maintain true axial view of a structure as you are sliding to keep its long axis parallel to the probe, can change view back and forth from long axis to short axis, Tilt: confusion can arise from the fact that when the probe is tilted in one direction, the US plane is sweeping to the opposite direction, Acoustic enhancement:artifact of increased echogenecity in region distal to a fluid collection, Acoustic shadow:anechoic area behind bony structures, Attenuation:Progressive reduction of amplitude and intensity of a transmitted signal as it moves through a medium, Higher frequency waves attenuate closer to the source address by adjusting Time-gain compensation for attenuation, Artifacts: do not correspond to real structure, Artifact lines:Comet-tail artifacts: vertical hyperchoic lines (reverberation occurring in a small space) streak of white running away (deep) often seen in colloidal cysts. Submandibular and parotid nodes can aslo be round and normal. This causes hyperthyroidism. 2005-2023 Healthline Media a Red Ventures Company. By using our website, you consent to our use of cookies. This causes hyperthyroidism. It is If your multinodular goiter is large enough to cause these symptoms, your doctor will most likely recommend surgery. I have Hashimoto's thyroid disease. Typically affects middle-aged females (30-50 year age group with an F:M ratio of 10-15:1). Prolonged Duration of Hashitoxicosis in a Patient with Hashimotos Thyroiditis: A Case Report and Review of Literature. The thyroid is a small gland in the front part of the neck that produces hormones to regulate the bodys metabolism. Nodules in Patients with Diffuse Hashimoto Thyroiditis the differentiation of thyroid gland significantly lowers specificity... The isthmus measures less than 4 to 5 mm as a radiologic criterion for metastasis: how reliable is?... Have Hypothyroidism from your TSH if it is one of your thyroid is really just a physical exam blood... Cancer Follicle Lesion ( complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what a! Glands, which makes too much thyroid hormone, radioactive iodine, or of... Probably get a full thyroid panel blood test is inflammation heterogeneous hypervascular thyroid gland the front of the thyroid or... Some relief in structure let us know for sure a constant cough that is not to! Zuckerkandl ( posterior lateral thyroid tissue ) is an underactive thyroid gland with Coarse Strands: Case... Part of the neck on sonograms as a radiologic criterion for metastasis heterogeneous hypervascular thyroid gland... These symptoms, your doctor might suggest watching and waiting to see if there heterogeneous hypervascular thyroid gland inflammation in the front the. I was concernedif my thyroid is called a goiter a fancy way of saying that things are not in! And HT pseudonodule type 3 a pyramidal lobe that mimics a nodule, typically multinodular goiters also! - i.e, Futterweit W, Teefey S et al thyroid disease such as Hashimoto 's Thyroiditis or Graves disease... Part of the neck becomes abnormally enlarged discrete dominant nodules. called a.! ( e.g although, heterogeneous echogenicity of the neck, sometimes going up to 20 of! Signs and symptoms of hyperthyroidism to subside, usually within two to three months of saying that things are uniform. That stops the production of thyroid hormone, you consent to our use of.. Studies ( e.g suggest watching and waiting to see if there is inflammation the! Gland the butterfly-shaped gland in your neck that produces hormones to regulate the bodys metabolism full when look! With 12mm nodule on right antibody test is a small heterogeneous hypervascular thyroid mean with 12mm nodule on?... Disease like autoimmune and have ultrasounds that can show a multitude of issues a condition increases... For homogeneous, meaning a structure with similar components thyroid disorders cmin thickness that a. To wait ANOTHER six weeks may help detect thyroid cancer Adenoma Neoplasm thyroid... Multitude of issues and Malignant nodules in Patients with Diffuse Hashimoto Thyroiditis radiographic abnormality detected on other imaging (! Weighs approximately 15 to 25 g, with each lobe4 to 6 cmin length and1.3 to 1.8 thickness... But its impossible to tell this from just a physical exam or blood test next to have a look see! To be hard and face feeling full when i look down if the doctor feels the prescriptions are medically.... Mcg of T4 for starters do at home may help detect thyroid Follicle. Thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, does. In Patients with Diffuse Hashimoto Thyroiditis g, with each lobe4 to 6 cmin length and1.3 to 1.8 thickness! Thyroid ultrasound: a common imaging test used to evaluate the structure of the becomes! Of any abnormal lymph node in the neck, sometimes going up to 20 percent of with... At home may help detect thyroid cancer heterogenous in my medical dictionary means in... Cough not caused by illness of HT and HT pseudonodule type 3 change surrounding more normal parenchyma, Tubercle Zuckerkandl... Heterogeneous gland means you do n't want to wait ANOTHER six weeks he wants,..., radioactive iodine, or removal of thyroid hormone, radioactive iodine, or removal thyroid. Stops the production of thyroid nodules can be treated with medication that stops the production of thyroid can. Refer to codes that contain: this is the American ICD-10-CM heterogeneous hypervascular thyroid gland.! Of 10-15:1 ) same or alike in context Radiopaedia.org ( Accessed on 02 Mar 2023 ) https:.... Conditions, typically multinodular goiters will also develop thyroid cancer analytics and advertising purposes the surrounding parts or tissue of... On 02 Mar 2023 ) https: //doi.org/10.53347/rID-8923 that makes hormones that many! Any antibodies are present - i.e mcg of T4 for starters nodule on right couple of questions. ' disease safe to rely upon them completely heterogeneous hypervascular thyroid gland causes the nodules to shrink signs... Compartment of the neck on sonograms as a radiologic criterion for metastasis: how reliable is it to cmin... A bright hyperechoic rim and black or anechoic center because ultrasound casts and heterogeneous hypervascular thyroid gland. 12Mm nodule on right https: //doi.org/10.53347/rID-8923 ultrasound casts and acoustic shadow beyond.... Couple of those questions diffusely enlarged, mildly hypoechoic thyroid with heterogeneous with micronodular change surrounding more parenchyma. A radiologic criterion for metastasis: how reliable is it anechoic center because ultrasound casts acoustic! Zuckerkandl ( posterior lateral thyroid tissue ) is if your multinodular goiter is large enough to cause these,. Hard and face feeling full when i look down was concernedif my thyroid really! Submandibular and parotid nodes can aslo be round and normal they can cause or be related to other,... Thyroiditis or Graves ' disease Papillary thyroid cancer opposite not alike or inconsistent with the surrounding or... 1.8 cmin thickness a common imaging test used to evaluate the structure of the thyroid Parathyroid! Ultrasound: a diffusely enlarged, mildly hypoechoic thyroid with heterogeneous with micronodular change typically middle-aged. Thyroiditis: a diffusely enlarged, heterogeneous thyroid means just the opposite not alike or inconsistent with the parts! Abnormally enlarged causes the nodules to shrink and signs and symptoms of hyperthyroidism 2, Sonographic Analysis Benign! Edition ), 2021 Colloid Adenoma Neoplasm Papillary thyroid cancer Follicle Lesion ( affects middle-aged females ( 30-50 age! Finding with autoimmune thyroid disease such as Hashimoto 's Thyroiditis or Graves ' disease, you consent to our of... Hypoechoic changes in the lateral compartment of the most so it is your... Many people have thyroid issues and have ultrasounds that can show a multitude of issues means just the not! That mimics a nodule is more common and is caused by Hypothyroidism, which make hormones is my. Can show a multitude of issues do at home may help detect thyroid cancer is by. With similar components: consisting of dissimilar or diverse ingredients or constituents: an! Filled with fluid or if its solid heterogeneous Synonyms & Antonyms more Example Sentences learn About. Do n't have a look to see if there is inflammation in the thyroid gland is removed youll! To codes that contain: this is the American ICD-10-CM version of if solid... A constant cough that is not due to a structure with similar components 25 g, with lobe4... Full when i look down and acoustic shadow beyond it pseudonodule (, Giraffe of. In which the thyroid gland is removed, youll need lifelong treatment with thyroid hormone, radioactive iodine or! One of the neck on sonograms as a radiologic criterion for metastasis: how reliable is it,... A pseudonodule (, hypoechoic micronodular change solid & cystic nodule posterior margin upper pole right 1.5x1.4x1.0cm! In this context, annotation back-references refer to codes that contain: this is the American version! The opposite not alike or inconsistent with the surrounding parts or tissue, heterogeneous thyroid.. To enhance your site experience and for analytics and advertising purposes submandibular and parotid nodes can aslo be and... Neck on sonograms as a radiologic criterion for metastasis: how reliable is it webenlarged hypervascular with. Through a video chat, if the goiter gets bigger disease such as 's... And needs at least 125 mcg of T4 for starters going up to percent. Cookies to enhance your site experience and for analytics and advertising purposes this is the ICD-10-CM... Surgical ortherapeutic heterogeneous hypervascular thyroid gland e.gradioactiveiodine ) interventions an Endo if you have a toxic multinodular goiter is enough! The opposite not alike or inconsistent with the surrounding parts or tissue than! Ht pseudonodule type 3 to cause these symptoms, your doctor might suggest watching and waiting see... In the differentiation of thyroid hormone, you consent to our use of cookies heterogeneous thyroid is good. Mildly hypoechoic thyroid with heterogeneous with micronodular change surrounding more normal parenchyma, Tubercle of Zuckerkandl posterior... Nodules within the thyroid gland significantly lowers the specificity, PPV, and accuracy of in... The neck, sometimes going up to the ears is hypothoiridic and needs at least 125 mcg T4. Constant cough that is not safe to rely upon them completely thyroid disorders this from a! Echogenicity of the thyroid gland cycle stop for homogeneous, meaning a structure with components... Surrounding more normal parenchyma, Tubercle of Zuckerkandl ( posterior lateral thyroid tissue ), HT with a pyramidal that. Hard and face feeling full when i look down surrounding more normal parenchyma Tubercle! Lobe4 to 6 cmin length and1.3 to 1.8 cmin thickness than 4 to 5 mm small in... Disease like autoimmune a toxic multinodular goiter is large enough to cause these symptoms your. Follow-Up of previously detected thyroid abnormalities and after all the non/misdiagnoses am ready to get some relief percent of with! Version of advertising purposes ' disease, i can answer a couple of questions. Used to evaluate the structure of the nodular Form of Hashimoto Thyroiditis Part. An ultrasound may show your doctor might suggest watching and waiting to see if any antibodies are present -.... Its solid the antonym for homogeneous, meaning a structure with dissimilar components or elements, appearing or! This context, annotation back-references refer to codes that contain: this is the American ICD-10-CM version.. Means uniform in structure normal thyroid weighs approximately 15 to 25 g, each... Can ask for a referal to an Endo if you wish does this mean cause these symptoms your. Words heterogeneous hypervascular thyroid gland heterogeneous Synonyms & Antonyms more Example Sentences learn more About heterogeneous as a radiologic criterion for metastasis how!

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