Neck Ultrasound is A Major of Endocrine Neck Certified Endocrinologist

Neck Ultrasound is A Major of Endocrine Neck Certified Endocrinologist

Neck Ultrasound is A Major of Endocrine Neck Certified Endocrinologist
      • Neck Ultrasound is A Major of Endocrine Neck Certified Endocrinologist

        Indications for neck ultrasonography 

        Thyroid

      • To delineate the presence, absence, size, and echo-characteristics of thyroid nodules/pathology
      • To differentiate between solid and cystic lesions
      • To delineate ultrasound characteristics that raise the risk of thyroid cancer in thyroid nodules (irregular borders, microcalcifications, hypoechogenicity, hypervascularity)
      • To detect concomitant pathology (lymph node disease, parathyroid disease, etc)
      • To identify the presence or absence of a substernal component, superior extension, or tracheal deviation from a goiter
      • To follow the progression, regression, or stability of thyroid disease
      • To identify characteristic findings of thyroid disease (ie, Hashimoto thyroiditis)
      • Pre-op  cancer evaluation for abnormal lymph nodes for biopsy and needle washout thyroglobulin TG to change original surgery if positive to include neck dissection.
      • To assist in post-thyroidectomy surveillance for thyroid cancer recurrence (ie, thyroid remnant, lymph node recurrence)
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    • Thyroid cyst for ethanol ablation
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    • Radiofrequency ablation of solid benign nodule
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    • Caner lymph node for ethanol ablation                  Before and after RFA
    • Parathyroid
      • To identify and localize parathyroid adenoma(s) or hyperplasia
      • To do gentile parathyroid biopsy to obtain PTH washout on difficult locations and finding them in the thyroid gland.
      • FNA of incidentaloma thyroid nodule during parathyroid evaluation.
      • To detect concomitant pathology (lymph node disease, thyroid disease, etc)
      • To plan the location of the incision for surgery
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    • Parathyroid adenomas
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    • Clear fluid parathyroid cyst for ethanol ablation
    • Lymph nodes
      • To delineate the presence or absence of pathologic/benign lymph nodes as well as their precise locations.
      • To do FNA and needle washout for Thyroglobulin or calcitonin to diagnose recurrence.
      • To detect concomitant pathology (thyroid disease, parathyroid disease, etc)
      • To plan the location of the incision for surgery
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      • Cancer node for ethanol ablation
    • Interventions
      •  Fine needle biopsy of thyroid nodules, parathyroid glands, and/or lymph nodes
      • To US guide percutaneous treatments  with ethanol for cancer lymph nodes and benign parathyroid and thyroid cysts and  radiofrequency ablation RFA, for cancer lymph nodes and solid large benign thyroid nodules.
      • ECNU certified Endocrinologists can be found on AACE.com website.
      • Call to see me 310-393-8860.Ask for Matt.
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      • parathyroid cyst
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    • My thyroid sonographer Matt
    • Image of clear fluid from parathyroid cyst with PTH needle washout of 25,234 ng/ml.
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Contact Info
1328 16th Street, Santa Monica, CA 90404
Monday – Friday
9:00 AM to 5:00 PM
(310) 393-8860