Female, 37 years old. Reason: SLE pt with palpable bilateral goiter. History: no symptoms - feeling hot a lot of the time. RIGHT LOBE MEASUREMENTS: 3.4 x 1.8 x 6.5 cmLEFT LOBE MEASUREMENTS: 2.4 x 2 .0 by 4.8 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Heterogeneous echotexture. Multiple predominantly cystic. A dominant cystic lesion in the right thyroid lobe measures 3.7 x 1.9 x 4.7 cm, with small mural nodular solid component, with mildly increased vascularity of the solid component. An additional right thyroid lobe complex cystic nodule measures 1.0 x 0.7 x 1 .0 cm, with peripheral vascularity. An additional mixed cystic and solid nodule in the right thyroid lobe measures 2.3 x 2.2 x 1.2 cm, with increased vascularity of the solid component.LEFT LOBE: Heterogeneous echotexture, with multiple subcentimeter predominantly cystic. A larger nodule with cystic and solid components measures 2.2 x 2.1 x 1.7 cm, with increased vascularity of the solid component, and may be part of a larger nodule with a hypoechoic rim.ISTHMUS: Mildly heterogeneous echotexture.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multiple bilateral predominantly cystic lesions as detailed above, which most likely represent colloid nodules. A mixed cystic and solid nodule in the left thyroid lobe may be part of a larger nodule with a hypoechoic rim.