60 year-old female with a history of thyroid cancer. Status post total thyroidectomy. Evaluate for evidence of tumor recurrence and the previously seen lesion. THYROID: The patient is status post thyroidectomy. RIGHT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LEFT THYROIDECTOMY BED: Stable small medial hypoechoic focus in the anterior left thyroid bed measuring 2 x 1 x 5 mm, compared to 2 x 4 x 5 mm previously, unchanged and suggestive of scarring.ISTHMUS BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LYMPH NODES: Bilateral morphologically unremarkable and normal-sized lymph nodes are identified.PARATHYROID GLANDS: No significant abnormality noted.OTHER: At level IV on the right there is an hypoechoic structure which appears to correspond to the previously described right level IV lymph node. On today's examination it appears tubular with internal blood flow on Color Doppler and in contiguity to the adjacent vasculature, most consistent with a vessel. No additional suspicious foci are identified in this region.
1. The previously described right level IV lymph node has either resolved or corresponds to a vessel as described above. No evidence of tumor recurrence or suspicious lymphadenopathy. 2. Left thyroidectomy bed focus suggestive of a scar.