Female, 78 years old. Reason: swollen lymph node in R submandibular region History: pain RIGHT LOBE MEASUREMENTS: 2.0 by 1.6 x 4.6 cmLEFT LOBE MEASUREMENTS: 1.3 x 1 .0 by 3.1 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Mildly heterogeneous echotexture without focal lesion.LEFT LOBE: Mildly heterogeneous echotexture. A 1.2 x 1.1 x 1.4 cm left lower pole spongiform nodule nodule has peripheral vascularity and no significant calcification. ISTHMUS: A 0.7 x 0.5 x 0.7 cm spongiform nodule at the junction of the isthmus and the left lobe has internal vascularity and no significant calcification.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Morphologically benign cervical lymph nodes are identified. A right level 2 lymph node measures 0.7 x 0.4 x 1.6 cm, with a fatty hilum. A right level 3 lymph node measures 0.6 x 0.4 x 1.4 cm, with a fatty hilum. A left level 2 lymph node measures 0.8 x 0.4 x 1.8 cm, with a fatty hilum. OTHER: No significant abnormality noted.
1. The patient's reported area of palpable abnormality corresponds with morphologically benign cervical lymph nodes. 2. Spongiform thyroid nodules are favored to be benign. No regional adenopathy.