78-year-old female with goiter. RIGHT LOBE MEASUREMENTS: Incompletely measured due to substernal component. 7.7 x 3.2 x 5.4 cmLEFT LOBE MEASUREMENTS: Incompletely measured due to substernal component. 7.1 x 2.6 x 3.6 cmISTHMUS MEASUREMENTS: 1.6 cmRIGHT LOBE: Diffusely heterogeneous. Small cystic colloid nodule measuring 0.5 x 1.1 x 0.5 cm. Solid, isoechoic nodule arising from the lower pole likely incompletely visualized, measuring 2.3 x 2.5 x 1.9 cm. Other less well-defined solid nodules are present. LEFT LOBE: Diffusely heterogeneous. Complex cystic nodule in the upper pole measuring 0.7 x 1 x 1.3 cm. Rounded, probably cystic nodule with small wall nodule in the midportion measuring 1.1 x 1.2 x 1.1 cm. Incompletely marginated, isoechoic but heterogeneous solid lower pole nodule measuring 3.5 x 4 by at least 3.5 cm. There are discrete, coarse calcifications in the left thyroid.ISTHMUS: Confluent heterogeneous and solid nodules with coarse calcification the most measurable approximating 1.6 x 1.6 x 1.6 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Large goiter with substernal thyroid. Multiple solid and cystic nodules. Coarse calcification in the left lobe and isthmus.