80-year-old female with hyperparathyroidism. Evaluate for parathyroid adenoma RIGHT LOBE MEASUREMENTS: 1.9 x 1 x 3.3 cmLEFT LOBE MEASUREMENTS: 1.3 x 1 x 3.9 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Spongiform nodule in the superior right lobe measuring 0.2 x 0.5 x 0.5 cm. Is also a second small cystic nodule with comet tail artifact in the medial right lobe.LEFT LOBE: No discrete mass.ISTHMUS: In the right isthmus there is a cyst without complication measuring 0.3 x 0.2 x 0.4 cmPARATHYROID GLANDS: Posterior to the mid to upper pole of the right lobe of the thyroid there is a 0.5 x 0.8 x 1.5 cm mass. This, however, he has a hypoechoic periphery and a central echogenic region characteristic of lymph node. No other extrathyroidal mass identified.LYMPH NODES: Slightly heterogeneous level 4 lymph node on the left measuring 0.6 x 0.8 x 1.1 cm maintains normal shape and vascularity.OTHER: No significant abnormality noted.
Colloid nodules.Lymph node posterior to the right lobe of the thyroid.