Female, 65 years old. Reason: r/o growth of nodules, adenopathy History: multiple nodules, one of which was enlarging, but FNA biopsy non-diagnostic. This is 4 month follow up study RIGHT LOBE MEASUREMENTS: 2.0 x 1.5 x 4 . CentimetersLEFT LOBE MEASUREMENTS: 1.1 x 0.9 x 4.7 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Heterogeneous echotexture. A nodule in the mid right thyroid measures 1.5 x 1.3 x 1 .8 cm, solid and hypoechoic, with coarse peripheral calcification and mild internal vascularity. A nodule in the inferior pole measures 1.3 x 1.2 x 1 .2 cm, homogeneous and significantly hypoechoic, noncalcified, with moderate internal vascularity. If this nodule is extrathyroidal, it may represent a parathyroid adenoma. An additional nodule in the inferior pole measures 0.6 x 0.4 x 1 .0 cm, homogeneous and hypoechoic, noncalcified, with moderate internal vascularity.LEFT LOBE: Heterogeneous echotexture. A nodule in the inferior pole measures 0.4 x 0.4 x 0 .5 cm, solid and hypoechoic, noncalcified, nonvascular.ISTHMUS: Heterogeneous echotexture.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: A right level 3 lymph node measures 0.8 x 0.3 x 0.9 cm, with a fatty hilum. A left level 3 lymph node measures 0.5 x 0.4 x 0.9 cm, unchanged.OTHER: No significant abnormality noted.
Multiple bilateral thyroid nodules as detailed above, unchanged. Stable cervical lymph nodes.