Female; 24 years old. Reason: Twenty Four Year Old Female Perinatal HIV Infection with CD4 220 plus Left Thyroid Nodule for two years. RIGHT LOBE MEASUREMENTS: 5.7 x 2.2 x 2.1 cmLEFT LOBE MEASUREMENTS: 5.7 x 1.5 x 1.6 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: The dominant nodule in the inferior pole measures 2.4 x 1.5 x 1.6 cm. It is mixed solid and cystic with foci of increased echogenicity suggestive of focal colloid or microcalcification. There is a second nodule more superiorly with a similar appearance as well as the suggestion of other similar appearing underlying nodules. Adjacent to the anterior pole nodule is a macrocalcification with a hypoechoic rim measuring 0.5 x 0.3 x 0.4 cm.LEFT LOBE: The dominant nodule in the left lobe measures 1.7 x 1.2 x 1.3 cm, it is predominantly solid with cystic components solid and cystic and foci of increased echogenicity suggestive of colloid.ISTHMUS: In the left isthmus knee there is a 1.5 x 0.3 x 0.8 cm hyperechoic, solid nodule without calcification. This nodule is palpable, reported by the patient.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Prominent lymph nodes with fatty hila are seen in the bilateral cervical chains.
1.Bilateral thyroid nodules. A dominant nodule in the right lobe is amenable to ultrasound guided biopsy.2.The palpable left isthmus nodule does not meet definite imaging criteria for biopsy and can be followed.