Male, 67 years old. Reason: 67yo with ?h/o Afib on chronic amiodarone. now TSH <0.01. Requesting thyroid US w/dopplers to assess bloodflow and r/o thyroid nodules. RIGHT LOBE MEASUREMENTS: 7.2 x 2.8 x 4.0 cmLEFT LOBE MEASUREMENTS: 7.5 x 3.0 x 3.5 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Heterogeneous echotexture. A nodule in the mid to lower right lobe measures 6.1 x 3.5 x 4.0 cm, predominantly solid with cystic component, hypoechoic, with questionable small internal calcifications, non-vascular.LEFT LOBE: Heterogeneous echotexture. A nodule in the mid to lower left lobe measures 3.9 x 2.3 x 2.5 cm, predominantly solid with cystic component, hypoechoic, noncalcified, nonvascular.ISTHMUS: Heterogeneous echotexture.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No cervical lymphadenopathy.OTHER: Calcified plaque noted in the left common carotid artery, with mild resultant narrowing.
1.Enlarged, multinodular thyroid gland as detailed above. A large right thyroid nodule with internal calcifications is amenable to biopsy. Additionally, given the clinical picture, nuclear medicine thyroid scan may be beneficial for functional evaluation of these nodules.2.Calcified atherosclerotic plaque in the left common carotid artery, with mild resultant narrowing.