48-year-old female patient with hyperthyroidism with palpable nodules. Evaluate size and characteristics of nodules. RIGHT LOBE MEASUREMENTS: 1.6 x 1.6 x 4.4 cm.LEFT LOBE MEASUREMENTS: 3.6 x 3.7 x 5.4 cm.ISTHMUS MEASUREMENTS: 4 mm in thickness.RIGHT LOBE: There are two discrete nodules in the right thyroid lobe. A spongiform-appearing nodule within the superior pole measures 1.0 x 0.6 x 1.2 cm. An additional subcentimeter spongiform nodule is noted within the lower pole.LEFT LOBE: The left thyroid lobe is predominantly replaced by heterogeneous solid and cystic nodule measuring approximately 3.3 x 3.3 x 4.6 cm. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Multiple enlarged lymph nodes noted within the right neck. A nondescript right level five lymph node without observed fatty hilum measures 1.4 x 1.2 x 1.4 cm. A right level four lymph node measures 1.1 x 0.8 x 0.7 cm.OTHER: No significant abnormality noted.
1. Dominant complex left thyroid nodule, which is amenable to biopsy.2. Two spongiform appearing right thyroid nodules, favor a benign etiology.3. Indeterminate enlarged right lower neck lymph nodes; biopsy is recommended for further evaluation.Findings discussed via telephone with Dr Sarne at 1421 hrs on 11/11/2015.