67 year-old female with a history of papillary thyroid cancer. Please evaluate. RIGHT LOBE MEASUREMENTS: 4.6 x 1.8 x 1.9 cmLEFT LOBE MEASUREMENTS: 4.7 x 1.4 x 1.2 cmISTHMUS MEASUREMENTS: 2 mm.RIGHT LOBE: Note is made of multiple subcentimeter nodules, which are too small to accurately characterize. Nodule 1: Mid body of the right lobe of the thyroid gland. There is a 1.7 x 1.1 x 14 cm, oval, heterogeneous, and partially solid partially cystic well-circumscribed nodule with peripheral and internal vascularity, and probable microcalcification. Indeterminant with suspicious characteristics.Nodule 2: Mid body of the left lobe of the thyroid gland. There is a round, well-circumscribed isoechoic nodule with peripheral calcification, measuring 0.7 x 0.7 x 0.6 cm. There is no internal vascularity or microcalcification. Indeterminant.LEFT LOBE: Note is made of multiple subcentimeter nodules, which are too small to accurately characterize. Nodule 1: Mid body of the left lobe of the thyroid gland. There is a 0.7 x 0.9 x 0.8 cm, oval, well circumscribed, spongiform nodule with foci of apparent ring down artifact suggestive of a benign colloid nodule. There is internal vascularity. Probably benign.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Note is made of multiple nonspecific subcentimeter lymph nodes in the soft tissues of the right lateral neck.OTHER: No significant abnormality noted.
1. Multiple indeterminate nodules in the right lobe of the thyroid gland, the largest of which measures 1.7 cm and demonstrates suspicious characteristics. Clinical correlation as well as submission of prior examinations is recommended, given the stated history of known thyroid carcinoma. If no priors are available, further evaluation with FNA of the dominant nodule could be considered.2. Nonspecific subcentimeter lymph nodes in the soft tissues of the right lateral neck.