Female 66 years old; Reason: thyroid nodules please evaluate History: as above RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 4.5 x 2.0 x 1.9 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 4.3 x 1.8 x 1.5 cm.ISTHMUS MEASUREMENT: The isthmus measures 0.4 cm.RIGHT LOBE: The right lobe is heterogeneous. In the superior portion of the right lobe there is a subcentimeter nodule isoechoic to the thyroid. This measures 0.8 cm x 0.4 cm x 0.6 cm. This appears spongiform and no internal microcalcifications are seen. As the lower portion of the right lobe there is a round subcentimeter hypoechoic nodule measuring 1 cm x 0.6 cm x 0.7 cm. No internal microcalcifications are seen.LEFT LOBE: The left lobe is heterogeneous. No dominant nodules are identified on the left.ISTHMUS: No significant abnormality noted.LYMPH NODES: There is a right level 4 lymph node visualized on prior ultrasound measuring 1.1 cm x 0.9 cm x 1.6 cm. This node has a fatty hilum and is previously measured to be 0.9 cm x 0.7 cm x 0.9 cm. On the left at level 4 there is a lymph node revisualized measuring 1.5 cm x 0.5 cm x 0.8 cm. This node is increased fatty hilum from prior ultrasound and previously measured 0.6 cm x 0.3 cm x 0.9 cm.
1. Heterogeneous thyroid gland with two subcentimeter nodules located in the right thyroid lobe. One is located superiorly with benign appearance and the other inferiorly, which is indeterminant. No prior thyroid ultrasounds are available for comparison. 2. Right and left level 4 lymph nodes are revisualized from prior ultrasound both slightly increased in size. These lymph nodes still demonstrate benign appearing morphology. No new suspicious adenopathy is visualized.