Male, 35 years old. Reason: primary hyperparathyroidism. evaluate for parathyroid adenomas RIGHT LOBE MEASUREMENTS: 2.0 x 1.8 x 6.3 cmLEFT LOBE MEASUREMENTS: 2.1 x 2.0 x 4.7 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Mildly heterogeneous echotexture. Questionable hypoechoic thyroid nodule at the inferior aspect of the right thyroid lobe measuring 0.9 x 0.6 x 1.0 cm, without significant internal vascularity.LEFT LOBE: Mildly heterogeneous echotexture. No focal lesion.ISTHMUS: Mildly heterogeneous echotexture. No focal lesion.PARATHYROID GLANDS: No parathyroid candidate is identified.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
No parathyroid candidate is identified in the normal orthotopic location.