Female, 55 years old. Reason: asymptomatic goiter found on exam, eval for nodules RIGHT LOBE MEASUREMENTS: 6.1 x 3.2 x 2.0 cmLEFT LOBE MEASUREMENTS: 5.7 x 2.6 x 2.6 cmISTHMUS MEASUREMENTS: 0.7 cmRIGHT LOBE: Heterogeneous echotexture, with multiple nodules of varying sizes. A right upper pole nodule measures 1.9 x 1.6 x 1 .2 cm, predominantly solid with cystic component a, noncalcified, without significant internal vascularity. An right lower pole nodule measures 1.2 x 1.0 x 1.1 cm, predominately cystic, noncalcified, nonvascular.LEFT LOBE: Heterogeneous echotexture, with multiple nodules of varying sizes. A dominant lower pole nodule measures 2.8 x 2.4 by 1.3 cm, heterogeneous, hypoechoic, predominantly solid with cystic components, and suggestion of peripheral calcification.ISTHMUS: Heterogeneous echotexture. A nodule at the left aspect of the isthmus measures 3.0 by 3.3 x 1.9 cm, heterogeneous and hypoechoic, with mild internal vascularity, noncalcified.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Heterogeneous thyroid with multiple nodules of varying size and character, as detailed above. A dominant left thyroid nodule is amenable to biopsy.