Female, 79 years old. Reason: thyroid Ca? History: non-specific L thyroid nodule RIGHT LOBE MEASUREMENTS: 4.4 x 1.7 x 1.8 cmLEFT LOBE MEASUREMENTS: 4.4 x 1.7 x 1.7 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Heterogeneous echotexture. A nodule in the lower pole measures 1.0 x 0.7 x 1 .0 cm, solid and heterogeneous, well marginated, code, noncalcified, nonvascular.LEFT LOBE: Heterogeneous echotexture. A nodule in the lower pole measures 1.6 x 1.2 x 1 .8 cm, predominantly solid with small cystic component and small echogenic foci, with peripheral vascularity.ISTHMUS: Heterogeneous echotexture. A nodule toward the right aspect of the Isthmus measures 0.8 by 0.9 x 0 .6 cm, heterogeneous and hypoechoic, with mild internal vascularity.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: A right level 3 lymph node measures 1.1 x 0.5 x 0.7 cm, with a fatty hilum. An additional right level 2 a node measures 2.1 x 0.4 x 1 .3 cm, with a fatty hilum. A left cervical lymph node measures 1.2 x 1.8 by 0.4 cm, with a fatty hilum. An additional left cervical lymph node measures 1.2 x 0.6 x 0.8 cm, with a fatty hilum.OTHER: No significant abnormality noted.
Multiple thyroid nodules as detailed above. A left lower pole predominantly solid nodule is amenable to biopsy if clinically warranted.