Reason: Question of multinodular goiter History: partial thyroidectomy of isthmus years ago on synthroid. RIGHT LOBE MEASUREMENTS: 2.9 x 1.8 x 1.4 cm.LEFT LOBE MEASUREMENTS: 5.6 x 2.4 x 2.8 cm.ISTHMUS MEASUREMENTS: 0.14 cm in thickness. RIGHT LOBE: Much of the right lobe is replaced by a dominant cystic and solid nodule measuring 2.4 x 1.6 x 1.5 cm which contains several echogenic foci which are nonspecific but may reflect inspissated colloid. No microcalcifications are detected.LEFT LOBE: Heterogeneous appearance of the left lobe of the thyroid. It is difficult to determine whether there is one large dominant mixed solid and cystic nodule or multiple individual nodules. No suspicious microcalcifications are delineated.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Few benign morphology cervical lymph nodes are noted.OTHER: No significant abnormality noted.
Multinodular goiter with multiple mixed cystic and solid nodules without specific evidence of malignancy.