Thyroid nodules. RIGHT LOBE MEASUREMENTS: 5.7 x 1.9 x 2.0 cmLEFT LOBE MEASUREMENTS: 5.5 x 1.7 x 2.1 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Multiple nodules on the right with the largest measuring 1.5 x 1.1 x 1.3 cm at the equator. Nodules are heterogeneous and mostly iso to hypoechoic. LEFT LOBE: Multiple nodules on the left with the largest measuring 1.6 x 1.5 x 1.3 cm located at the upper pole. Similar to the nodules on the right these are mostly heterogeneous and isoechoic to hypoechoic with respect to the remainder the gland.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Bilateral small level 3 lymph nodes measuring up to 1.3 cmOTHER: Attention was directed to the and left parotid tail nodule described on recent MRI for possible biopsy. This nodule represents a benign-appearing lymph node with a fatty hilum measuring 0.8 x 0.3 x 0.4 cm. Given small size and benign appearance, biopsy was deferred. The rationale for this was discussed at length with the patient at the time of the exam who agreed with the plan.
Multiple thyroid nodules bilaterally. The nodule described on recent MR appears to be a benign-appearing subcentimeter lymph node; given appearance and small size, biopsy was deferred. This was discussed with both the patient as well as the clinical service (pager 6467) at the time of the exam.