Female, 58 years old. Reason: r/o increase in size of nodules, r/o adenopathy, suspicious lesions History: multiple thyroid nodules RIGHT LOBE MEASUREMENTS: 5.8 x 1.9 x 1.7 cmLEFT LOBE MEASUREMENTS: 5.6 x 1.8 x 1.8 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Heterogeneous echotexture. A right mid thyroid nodule measures 0.9 x 0.4 x 0.8 cm, unchanged from prior, heterogeneous, hypoechoic, poorly marginated, non-calcified, non-vascular.LEFT LOBE: Heterogeneous echotexture. A left mid thyroid nodule measures 2.0 x 1.5 x 0 .8 cm, unchanged from prior, heterogeneous and spongiform, nonvascular, with a few scattered punctate echogenic structures suggestive of inspissated colloid. A left lower pole thyroid nodule measures 0.9 x 0.7 x 0 .6 cm, similar to prior, isoechoic, with a hypoechoic rim and internal vascularity.ISTHMUS: Heterogeneous echotexture.PARATHYROID GLANDS: Benign cervical lymph nodes are identified. A right level 3 lymph node measures 0.8 x 0.4 x 1 .5 cm, with a fatty hilum. A left level 3 lymph node measures 0.7 x 0.2 x 2.1 cm. A left level 4 lymph node measures 0.7 x 0.3 x 0.8 cm.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Heterogeneous thyroid with bilateral nodules, stable from prior. No lymphadenopathy.