Female, 55 years old. Reason: complains of hoarseness and has had multinodular goiter History: rule out enlargement RIGHT LOBE MEASUREMENTS: 7.9 x 2.4 x 2.2 cmLEFT LOBE MEASUREMENTS: 8.3 x 3.2 x 3.2 cmISTHMUS MEASUREMENTS: 0.6 cmRIGHT LOBE: Heterogeneous echotexture, with multiple nodules. A right superior Palmetto measures 1.3 x 0.8 by 1.6 cm, heterogeneous and hypoechoic, predominantly solid, calcified, with mild internal vascularity. A right inferior pole nodule measures 1.1 x 0.6 x 2.1 cm, heterogeneous, solid, calcified, with minimal internal vascularity. A right mid thyroid nodule measures 2.2 x 1.8 x 2.2 centimeters, solid and heterogeneous, noncalcified, with mild internal vascularity.LEFT LOBE: Heterogeneous echotexture, with multiple nodules. A lower pole nodule measures 2.1 x 1.1 x 1 .9 cm, solid and heterogeneous, with internal calcification and moderate internal vascularity. A mid to superior pole nodule measures 2.3 by 1.9 x 1 .5 cm, isoechoic and mildly heterogeneous, noncalcified, with moderate internal vascularity.ISTHMUS: Heterogeneous echotexture.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign-appearing cervical lymph nodes are identified. A right level 2 lymph node measures 0.7 x 0.4 x 1.4 cm, with a fatty hilum. A left level 3 lymph node measures 0.4 x 0.2 x 0.4 cm, with a fatty hilum.OTHER: No significant abnormality noted.
Multinodular goiter, not significantly changed from prior.