71-year-old male with biopsy demonstrating "suspicious for follicular neoplasm" in the right lobe of the thyroid. Evaluate thyroid preoperatively. RIGHT LOBE MEASUREMENTS: 2.3 x 2.5 x 4.7 cmLEFT LOBE MEASUREMENTS: 1.5 x 1.8 x 5.5 cmISTHMUS MEASUREMENTS: 0.6 cmRIGHT LOBE: Within the right lobe of the thyroid posteriorly there is an unusually shaped and well-demarcated heterogeneous but hypoechoic mass with several small bright reflectors which could represent calcification. It is difficult to determine whether this is predominantly intra or extra thyroidal, and the mass corresponds to the outside biopsy.LEFT LOBE: No significant abnormality noted.ISTHMUS: In the left isthmus there is dense, shadowing calcification. No obvious mass although a mass posterior to the shadowing can't be excluded.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Mass involving the right lobe of the thyroid although this could be arising from an extrathyroidal location.Dense calcification without obvious mass involving the left isthmus.No mass identified within the left lobe and no adenopathy.