Female, 75 years old. Reason: r.o growth of nodules, adenopathy History: 2 year follow up US for multinodular goiter. left-sided nodules has increased a bit in size on physical examination RIGHT LOBE MEASUREMENTS: 4.6 x 1.2 x 1.6 cmLEFT LOBE MEASUREMENTS: 4.9 x 1.8 x 1.6 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Heterogeneous echotexture. A hypoechoic nodular focus in the right inferior pole measures 1.4 x 2.5 x 1 .5 cm, nonvascular, unchanged.LEFT LOBE: Heterogeneous echotexture. A heterogeneous hypoechoic mixed cystic and solid nodule in the inferior pole measures 2.5 x 1.4 x 1.5 cm, noncalcified, minimal internal vascularity, unchanged.ISTHMUS: Heterogeneous echotexture. A heterogeneous hypoechoic nodule at the inferior aspect of the Isthmus measures 0.7 x 0.6 x 1 .0 cm, unchanged. An additional heterogeneous hypoechoic nodule at the mid right aspect of the Isthmus measures 0.7 x 0.6 x 0.7 cm, unchanged.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign-appearing cervical lymph nodes are identified. A right level 2 lymph node measures 0.7 x 0.3 x 1.3 cm.OTHER: No significant abnormality noted.
Stable thyroid nodules bilaterally.