Female, 32 years old. Reason: check for change in nodules, also 9/2013 ultrasound mentions two extrathyroidal nodules superiorly - please comment on these RIGHT LOBE MEASUREMENTS: 2.7 x 1.8 x 7.0 cmLEFT LOBE MEASUREMENTS: 2.5 x 1.9 x 5.9 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Mildly heterogeneous echotexture. A right lower pole nodule measures 0.8 x 0.5 x 0.6 cm, cystic, without significant internal vascularity. A previously described slightly hypoechoic nodule in the right thyroid lobe is not clearly visualized on this exam.LEFT LOBE: Mildly heterogeneous echotexture. A left midpole nodule measures 0.5 x 0.4 x 0 .5 cm, cystic, nonvascular. A left lower pole nodule measures 0.7 x 0.4 x 0.5 cm, cystic, nonvascular. These lesions appear unchanged from the prior exam.ISTHMUS: Mildly heterogeneous echotexture, without focal lesion.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: A right level 2 lymph node measures 1.4 x 0.5 x 0.8 cm, hypoechoic, without definite fatty hilum identified. It is unclear whether this lymph node corresponds with that seen on the previous exam, as peripheral calcification is not visualized on this lesion.OTHER: An additional nodule identified in the right neck superior to the medial aspect of the thyroid measures 0.7 x 0.5 cm, hypoechoic and heterogeneous, without significant vascularity. This lesion appears similar to the prior exam. A previously described additional adjacent smaller hypoechoic nodule is not clearly identified on this exam.
1. Subcentimeter cystic thyroid nodules as detailed above.3. A right level 2 lymph node is indeterminate, without definite fatty hilum.2. A hypoechoic nodule in the medial aspect of the right neck, superior to the thyroid, appears similar to prior. If not already performed, fine needle aspiration of this lesion is recommended to exclude metastatic adenopathy. Thyroglobulin washing may be performed at that time.