Female 65 years old Reason: r/o concerning lesions, adenopathy History: had right lobectomy and found to have microscopic thyroid cancer RIGHT LOBE MEASUREMENTS: Patient is status post right thyroidectomy.LEFT LOBE MEASUREMENTS: 1.6 x 1.7 x 5.5 cm. Previously 1.9 x 1.3 x 4.7 cm.ISTHMUS MEASUREMENTS: The SVC measures approximately 5 mm.RIGHT LOBE: In the inferior right thyroidectomy bed there is a hypoechoic nodule which may represent a lymph node measuring 0.6 x 0.5 x 0.9 cm. LEFT LOBE: Multiple nodules are present on the left. The entire left lobe is hyperemic which may represent underlying thyroiditis.Left mid thyroid nodule has peripheral hypodensity and centrally isoechoic to normal thyroid measures 0.9 x 0.8 x 1.4 cm, previously 0.6 x 0.7 x 1.1 cm. This nodule is vascular. This first nodule has been biopsied.Left mid nodule adjacent to the isthmus measures 0.8 x 0.8 x 1.4 cm is heterogeneous internally with possible colloid. This previously measured 0.9 x 0.7 x 1.0 cm. This nodule is vascular. Unclear if this nodule has been biopsied.Another left mid lobe nodule adjacent to the isthmus measures 1.3 x 0.8 x 1.2 cm, previously 0.9 x 0.7 x 1.0 cm. This nodule has definitely been biopsied. A fourth nodule in the left inferior lobe measures 0.7 x 0.8 x 0.8 cm. This is predominantly a hypoechoic nodule. This nodule was likely present on the prior exam and is unchanged.ISTHMUS: There is a predominantly hypoechoic nodule in the isthmus which measures 0.7 x 0.6 x 1.0 cm which was not definitely present on prior outside exam.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.4 nodules on the left, 3 of which measure slightly increased in size compared to the prior exam. At least 2 of these nodules have been previously biopsied. 2.The entire left lobe is hyperemic which may represent underlying thyroiditis.3.There is a hypoechoic nodule in the isthmus, which was not definitely present on the outside exam.4.Hypoechoic nodule in the right thyroidectomy bed may represent a lymph node.