43-year-old female with concern for acute hyperthyroidism RIGHT LOBE MEASUREMENTS: The right lobe measures 6.9 cm x 2.7 cm x 2.2 cm.LEFT LOBE MEASUREMENTS: The left lobe measures 5.9 cm x 2.5 cm x 2.0 cm.ISTHMUS MEASUREMENTS: The isthmus measures 0.6 cm.RIGHT LOBE: The right lobe is enlarged and heterogeneous. There is increased vascularity. No dominant nodules are identified.LEFT LOBE: The left lobe is enlarged and diffusely heterogeneous. No dominant nodules are identified.ISTHMUS: The isthmus is enlarged and heterogeneous. No dominant nodules are identified.PARATHYROID GLANDS: None visualized.LYMPH NODES: Several small lymph nodes are seen on the right, the 2 largest were measured. On the right at level 1B this node measures 1.4 cm x 0.8 cm x 0.4 cm. On the right at level 3 this node measures 1.9 cm x 0.5 cm x 0.4 cm. Both of these nodes are slender with a fatty hilum. On the left, there is a level 1B lymph node that measures 1.6 cm x 0.9 cm x 0.4 cm. This node is slender with a fatty hilum. On the left inferior to the thyroid there is a lymph node that measures 1.1 cm x 0.8 cm x 0.8 cm. This is hypoechoic with a fatty hilum.
1. Multinodular goiter with no dominant nodule seen. The thyroid gland is also hypervascular.2. Several benign-appearing lymph nodes are seen bilaterally, as above.