Female, 46 years old. Reason: secondary hyperparathyroidism, please evaluate for thyroid nodules and abnormal parathyroids Study is limited by body habitus.RIGHT LOBE MEASUREMENTS: 4.3 x 1.8 x 2.4 cmLEFT LOBE MEASUREMENTS: 4.4 x 1.9 x 1.4 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Heterogeneous echotexture. A nodule at the posterior aspect of the mid right thyroid measures approximately 0.5 x 0.3 x 0.9 cm, hypoechoic, noncalcified, nonvascular.LEFT LOBE: Heterogeneous echotexture. A left lower pole nodule measures 0.7 x 0.5 x 0 .6 cm, heterogeneous and hypoechoic, noncalcified, nonvascular.ISTHMUS: Heterogeneous echotexture, without focal lesion..PARATHYROID GLANDS: A a, hypoechoic structure posterior to the inferior pole of the right thyroid measures 1.0 x 0.6 x 1 .2 cm, nonvascular, and may represent a parathyroid gland. However, this is not adequately visualized for further evaluation.LYMPH NODES: Benign-appearing cervical lymph nodes are identified. A right level 3 lymph node measures 1.5 x 0.6 x 1.2 cm, with a fatty hilum.OTHER: No significant abnormality noted.
1. Bilateral subcentimeter thyroid nodules as detailed above, with benign-appearing cervical lymph nodes. 2. A hypoechoic structure posterior to the inferior pole of the right thyroid may represent a parathyroid gland, although evaluation is limitedI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.