Female; 56 years old. Reason: History of multinodular goiter with tenderness to left palpable nodularity. RIGHT LOBE MEASUREMENTS: 5.1 x 1.7 x 1.4 cmLEFT LOBE MEASUREMENTS: 5.5 x 1.8 x 1.2 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: The right lobe is heterogeneous. In the lower pole is a mildly hypoechoic, heterogeneous solid nodule which measures 1.6 x 1.0 x 0.9 cm (previously 1.5 x 1.0 x 1.0 cm).LEFT LOBE: Multiple heterogeneous nodules are seen in the left lobe. A dominant nodule in the midpole heterogeneous with solid components and internal vascularity measures 1.6 x 1.2 x 0.7 cm (previously 1.6 x 1.1 x 0.8 cm). This is stable in appearance compared to the prior ultrasound.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: 1.8 x 0.9 x 0.6 cm right level 2 and 1.7 x 0.9 x 0.8 cm left level 2 lymph nodes have a normal ultrasound appearance with a fatty hilum.
1.Multinodular thyroid not significantly changed compared to the prior study.2.Bilateral prominent level 2 lymph nodes with a normal ultrasound appearance are likely reactive in etiology.