70-year-old female with thyrotoxicosis and hyperparathyroidism. Evaluate for thyroid nodule or parathyroid adenoma. RIGHT LOBE MEASUREMENTS: At least 2 x 2.6 x 8.3 cm. Extends substernally.LEFT LOBE MEASUREMENTS: At least 2.3 x 2.6 x 5.6 cm. Extends substernally.ISTHMUS MEASUREMENTS: 0.7 cmRIGHT LOBE: Echotexture is diffusely heterogeneous with some very small, hypoechoic nodules, many of which are complex cystic. In the inferior right lobe is a solid nodule with cystic component and wall calcification as well as septation with thick calcification measuring 0.7 x 0.9 cm.LEFT LOBE: Echotexture is diffusely heterogeneous with very small hypoechoic nodules, many of which are complex cysticISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No definite enlarged parathyroid identified. However, the size of the gland and caudal extent may make extrathyroidal mass less evident.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Thyromegaly with very small, likely cystic or complex cystic nodules. Larger complex cystic nodule with calcification on the right.No definite parathyroid mass although substernal extent of thyroid is limiting.