84 year-old female with dyspnea on exertion, chronic. Evaluate for change in size of nodules. RIGHT LOBE MEASUREMENTS: 2.1-cm x 3.8 cm x 2.0 cm.LEFT LOBE MEASUREMENTS: 5.4 cm x 3.5 cm x 2.5 cmISTHMUS MEASUREMENTS: 6 mm in thickness. RIGHT LOBE: Multiple colloid nodules are noted, the largest of which measures 1.1 cm x 0.9 cm x 1.6 cm containing an internal septation not significantly changed.LEFT LOBE: Multiple colloid nodules which overall not significantly changed. Additional heterogeneous predominantly solid nodule in the lower pole is more conspicuous on today's exam measuring 3.0 cm x 3.2 cm x 3.4 cm which is not significantly changedISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: Calcification is noted in the left common carotid artery with turbulent flow proximal and distal to the thrombus noted.
1. Bilateral colloid nodules not significantly changed. Heterogeneous predominantly solid nodule in the left lower pole not significantly changed.2. Calcification is noted in the left common carotid artery with narrowing. Recommend dedicated duplex sonogram further evaluation. 