Female 56 years old Reason: goiter with multiple nodules History: none RIGHT LOBE MEASUREMENTS: 7 x 2.2 x 2.5 cmLEFT LOBE MEASUREMENTS: 8.5 x 3.2 x 2.5 cmISTHMUS MEASUREMENTS: 6 mmRIGHT LOBE: Background thyroid is heterogeneous. Again noted multiple nodules within the right thyroid lobe. Largest nodule is in the mid right thyroid lobe and measures 2.3 x 1.7 x 2.6 cm. This is relatively unchanged compared to previous study. This nodule has heterogeneous echotexture and may represent a solid nodule versus a complex cystic nodule.LEFT LOBE: Background thyroid is also heterogeneous. Multiple nodules are also present within the left lobe. Largest nodule is in the inferior aspect of the left thyroid lobe and measures 2.3 x 1.8 x 1.6 cm and not significantly changed compared to previous study.This nodule has heterogeneous echotexture and may represent a solid nodule versus a complex cystic nodule.ISTHMUS: There is a new heterogeneously appearing nodule at the left lower aspect of the isthmus was measuring 2.2 x 1.6 x 2.2 cm. This nodule has complex cystic areas. At the periphery of the nodule there may be solid areas versus complex cystic component.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multinodular goiter and diffusely heterogeneous background thyroid. Bilateral nodules are grossly unchanged. However there is a new complex appearing cystic nodule arising from the left lower aspect of the isthmus.