Thyrotoxicosis, with multinodular goiter. Evaluate for change in size of nodules. RIGHT LOBE MEASUREMENTS: 3.6 x 1.6 x 1.3 cm, previously 4.3 x 1.4 x 1.8 cmLEFT LOBE MEASUREMENTS: 3.4 x 1.9 x 2.1 cm, previously 4.2 x 2.0 x 2.4 cmISTHMUS MEASUREMENTS: 4 mm, unchangedRIGHT LOBE: Multiple nodules, some of which are calcified within the right lobe. An inferior right thyroid nodule measures 1.2 x 0.8 x 0.9 cm, previously 1.0 x 0.6 x 0.7 cm. A right superior thyroid nodule containing calcification measures 0.8 x 0.7 cm, probably unchanged (though unable to measure AP dimension due to shadowing).LEFT LOBE: Multiple heterogeneous thyroid nodules are again identified. There is a mixed solid/cystic nodule within the superior left thyroid lobe measuring 2.0 x 1.4 x 1.7 cm, with no internal calcification, probably unchanged. A mixed solid/cystic nodule, without calcification, within the inferior left thyroid lobe measures 1.7 x 1.5 x 1.8 cm, previously 1.5 x 1.2 x 1.6 cm.ISTHMUS: Inferior medial solid appearing nodule within the left isthmus measures 2.2 x 1.2 x 2.2 cm, previously 2.1 x 1.3 x 1.7 cm, with increased vascularity.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multiple bilateral thyroid nodules with increased size of a solid nodule within the left isthmus with increased vascularity.Mixed cystic/solid nodule within the left lobe are stable to slightly increased in size.Right thyroid nodules, one of which contains calcification, are not significantly changed.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.