Female 74 years old; Reason: history of papillary thyroid carcinoma with new tenderness on right anterior cervical area, difficult to palpate area of concern on exam History: tenderness in right anterior cervical area The patient is status post total thyroidectomy.RIGHT THYROIDECTOMY BED: No suspicious lesions are seen within the thyroidectomy bed.LEFT THYROIDECTOMY BED: No suspicious lesions are seen within the thyroidectomy bed.LYMPH NODES: No suspicious adenopathy noted. On the right at level 1 there is a enlarged lymph node measuring 1.4 cm x 1.0 cm x 2.9 cm. On the left at level 1 lymph node is identified measuring 1.3 cm x 10.9 cm x 2.4 cm.
No suspicious lesions within the thyroidectomy bed concerning for recurrence. A level 1 cervical lymph node is seen on the right and left favored to be reactive. No suspicious regional adenopathy is identified.