Can a technician say your ultrasound showed no abnormalities if there are?

Feel free to ignore my last large paragraph and focus on the 2 questions!!


I waited around 25 days for an ‘urgent’ ultrasound appointment because of a lump in my neck, which I’ve had for nearly a year now. When I first noticed it, I didn’t say anything because, around the same time, my Mum was diagnosed with thyroid cancer: I thought it’d seem like I was making stuff up for attention (which isn’t an outrageous assumption of teens- I was 16 at the time & have a poor relationship with my family).
It’s also grown in the past two weeks, or so, and feels slightly harder (I don’t know if that’s the right word to use).

I’m not sure if the person who did my ultrasound was a radiologist or an ultrasound technician.

My question is:

Can the technician (or radiologist) tell you there are no abnormalities on your ultrasound if there are?? Or might he not know, but say it anyway to try and soothe my mind as it’s not his job to tell me if something is wrong.

He told me he didn’t see anything abnormal and the lump in my neck could just be asymmetrical muscles. But it definitely doesn’t feel like asymmetrical muscles.

After I found out that the technician can’t tell you your results, I learnt how to read Sonograms.  It was nice to be able to recognise the structures in my own neck, but I wasn’t allowed to view the ultrasound screen (I don’t know what it’s actually called) when it was showing the structures around my lump. The guy told me to turn my head to the left (away from the screen) every time he went near the lump, but I was allowed to look at the screen when he was around other areas of my neck. When he went over the left side of my neck, he didn’t tell me to turn my head to the right, just keep my head straight, but he didn’t seem to mind when I did turn my head to the right to view the ultrasound. By the way, I could only view the ultrasound if I was sat upright. Absolutely no chance of viewing it when I was laying down. Either way, it was cool to view the sonogram and be able to identify the structures in my own neck.

Am I just overthinking his actions? I know I wouldn’t be allowed to view the ultrasound if there was an obvious abnormality as I have to wait for my doctor to tell me about that. 

I know it sounds insane, but I was hoping it was Thyroid Cancer or something. I cried when it wasn’t. Cancer means there’s at least treatment and a chance of me getting better. Otherwise, I’m stuck with the mental anguish of constant lethargy. The inability to have a normal life and do normal things without losing my energy is driving me insane.

This next part is just a little summary of the symptoms I’ve been experiencing and how they’ve affected me, but it’s not relevant to the question. More relevant to I’m struggling so much and not receiving help.

I’ve been complaining of fatigue for a few years now, and it’s only gotten worse. They literally only did something when they saw a lump. Also, my Mother had Thyroid Cancer, my brother had Hodgkin Lymphoma, and my Aunt had breast Cancer. My school attendance is horrible because of how lethargic I get, and it’s not just school; it’s also a lot of other things, like hanging out with friends and missing out on hobbies. Small Tasks drain me. I can hardly do anything, and if I don’t sleep or eat enough, it feels as if a ton of bricks are on my muscles, so I have no energy whatsoever to move them. That usually happens when I wake up and lasts a few hours before my body has the energy to move them. Thank God that only happens once or twice every month or so, but usually after I’m still relatively limited. I have a horrible memory & experience a lot of brain fog. Sometimes, if I make it to school, I end up losing most of my energy mid-class and feel half-dead. A 10-minute nap might help me feel less horrible, and a 30-minute nap might give me the reboot I need, which is weird because even after 8 hours (or more) of sleep I still wake up tired. Rarely ever refreshed.

I’m honestly going insane trying to find out what’s wrong with me so I can get treatment and start to feel better.

  • I’m sorry to hear you not feeling well and have no answers. Have your docs done any bloods? Have they checked your thyroid levels? X

  • "Can the technician (or radiologist) tell you there are no abnormalities on your ultrasound if there are?? Or might he not know, but say it anyway to try and soothe my mind as it’s not his job to tell me if something is wrong."

    No, a radiologist would not tell you there are no abnormalitites on your ultrasound if he thought there was. There would be no reason at all for them to do so and it would be likely to cause a lot of trouble for them, if you were later told there was, as a lot of people would be very angry at them in that case. Even if they didn't know, they would say that or they would say "the doctor will have to review the results before we can say anything for certain."

    And I wouldn't say you "wouldn't be allowed to view the ultrasound if there was an obvious abnormality." There aren't different rules depending on what is found. If they wouldn't let you view it, it would be because they need you in a certain position to do it properly, not that they are hiding anything from you. And there is no way you could know if you had cancer from an ultrasound anyway. It can't diagnose thyroid cancer. All it can do is say if there is a nodule there to be biopsied. So there couldn't be anything there they were hiding from you.

    The reason you would have to wait for a doctor to tell you isn't because you "aren't allowed" to know before that. It's because any potential abnormalities would need to be examined by a doctor before they have any answers to tell you. 

    And having had thyroid cancer, none of the symptoms you mention fit with my experience. I had no symptoms, just a lump on my neck. I don't know if thyroid cancer could cause lethargy, brain fog or poor memory, but it definitely isn't a common cause of those things and even if you had it, it wouldn't necessarily explain them. 

    One immediate possible explanation that occurred to me is stress. A lot of the symptoms you mention could be related to depression or anxiety and given that you have a poor relationship with your family, that your mother has recently had thyroid cancer and your brother also had health problems, stress and anxiety would be extremely understandable. Especially as you are at a point of your life that is very stressful anyway - exams, approaching adulthood, deciding on careers.

    As Nhj91 mentioned, an underactive thyroid could also explain a lot of your problems.

    But they wouldn't tell you to look away because they had found something worrying and didn't want you to see it. If they told you to look to the left, it was because they needed you to do that to examine that part of your neck, not because they were hiding anything from you nor is the radiologist likely to lie to you.