Male, 47 years old. Reason: pt with primary hyperparathyroidism, would like to identify any abnormal parathyroid glands and any thyroid nodules >1cm to that would require biopsy RIGHT LOBE MEASUREMENTS: 1.3 x 1.5 x 4.4 cmLEFT LOBE MEASUREMENTS: 1.5 x 1.2 x 4.6 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Homogeneous echotexture, without focal lesion.LEFT LOBE: Homogeneous echotexture, without focal lesion.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: A mildly heterogeneous, hypoechoic nodule posterior to the inferior thyroid lobe measures 1.4 x 1.0 x 1.9 centimeters.LYMPH NODES: A right level 3 lymph node measures 0.8 x 0.2 x 1.1 cm. A left level 4 lymph node measures 0.4 x 0.2 x 0.7 cm.OTHER: No significant abnormality noted.
A hypoechoic nodule posterior to the right inferior thyroid lobe corresponds with the abnormality seen on recent nuclear medicine parathyroid study and presumably represents a parathyroid adenoma. No thyroid nodules identified.