Female, 24 years old. Reason: Thyroid Cancer. Please assess lymph nodes in the lateral and central neck. RIGHT LOBE MEASUREMENTS: 2.2 x 2.4 x 6.9 cmLEFT LOBE MEASUREMENTS: 2.2 x 2.9 x 6.9 cmISTHMUS MEASUREMENTS: 0.6 cmRIGHT LOBE: Heterogeneous echotexture. A right lower pole nodule measures 1.5 x 0.7 x 1.1 cm, ovoid, hypoechoic, noncalcified, without significant internal vascularity.LEFT LOBE: Heterogeneous echotexture. A left lower pole nodule measures 1.8 x 0.8 x 1.5 cm, heterogeneous, with internal echogenicity which may reflect calcification.ISTHMUS: Heterogeneous echotexture.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: A right level 2 lymph node measures 0.9 x 0.5 x 2.5 cm, with a fatty hilum. A left level 2 lymph node measures 1.0 x 0.4 x 1 .2 cm, with heterogeneous echotexture and suggestion of a fatty hilum. A left level 3 lymph node measures 1.0 x 0.2 x 1.1 cm, with a fatty hilum.OTHER: No significant abnormality noted.
1. Enlarged, heterogeneous thyroid with bilateral nodules as detailed above. The nodule on the left corresponds with the patient's known thyroid cancer.2. A left level 2 nonenlarged heterogeneous lymph node is nonspecific, but presence of a fatty hilum favors benignity. No other suspicious lymph nodes are identified.