Female 46 years old; Reason: Assess thyroid nodule History: Thyroid nodule RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 1.9 x 2.0 x 6.1 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 1.6 x 1.9 x 6.2 cm.ISTHMUS MEASUREMENT: The isthmus measures 0.5 cm.RIGHT LOBE: Right lobe is heterogeneous. Posteriorly and inferiorly there is a round heterogeneously cystic/solid nodule measuring 2.0 cm x 1.0 cm x 1.3 cm. No internal microcalcifications are seen and there is a small amount of internal vascularity. LEFT LOBE: The left lobe is heterogeneous. There is a small subcentimeter hypoechoic nodule at the inferior portion of the left thyroid lobe that demonstrates comet tail artifact within.ISTHMUS: Within the isthmus there is a hypoechoic nodule with increased internal vascularity and areas of irregularly increased echogenicity within. This measures 1.9 cm x 0.7 cm x 1.4 cm.LYMPH NODES: No suspicious adenopathy noted.
1. The thyroid appears heterogeneous.2. There is a dominant hypoechoic nodule with increased internal vascularity visualized within the isthmus. A biopsy of this nodule could be performed as indicated. No suspicious adenopathy is seen.3. Dominant cystic/solid nodule is identified in the inferior/posterior portion of the right lobe. This nodule, as above, meets size criteria for biopsy if clinically indicated.