Female, 64 years old. Reason: patient with known thyroid cancer. please evaluate for central and lateral suspicious lymph nodes RIGHT LOBE MEASUREMENTS: 4.3 x 2.2 x 1.1 cmLEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Homogeneous echotexture, without focal lesion.LEFT LOBE: An elongated hypoechoic structure in the left thyroid bed measures 0.4 x 0.3 by 1.4 cm. this area appears more rounded on transverse imaging and very longitudinally oriented on sagittal imaging, may represent postoperative scarring. This structure was not clearly seen on prior outside ultrasound, although that exam is limited in this region.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: A nodule within the left level 4 lymph node station measures 1.9 x 1.8 x 3.1 cm, solid, predominantly isoechoic and heterogeneous, with a hypoechoic rim and punctate calcifications, with internal vascularity.A left level 3 lymph node measures 0.8 x 0.3 x 0 .8 cm, with a fatty hilum. A left level 4 lymph node measures 0.9 x 0.5 x 0.8 cm, without definite fatty hilum.OTHER: No significant abnormality noted.
1. Status post left thyroid lobe resection, with a hypoechoic area within the left thyroid bed which may represent postoperative changes.2. A 2 to 3 cm solid nodule in the left neck, as detailed above, corresponds with a focus of biopsy-proven papillary thyroid carcinoma.3. Additional subcentimeter cervical lymph nodes as described above, including in indeterminant left level 4 lymph node.