Thyroid cancer status post thyroidectomy RIGHT LOBE: Status post thyroidectomy without worrisome mass. LEFT LOBE: Status post thyroidectomy without worrisome massISTHMUS: Status post thyroidectomy without worrisome massPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Interval appearance of 0.9 x 0.6 x 0.9 hypoechoic focus posterior to the right carotid artery at level 4. No change in hypoechoic lymph node left level 4 again measuring 0.9 x 0.5 x 0.4 cm.OTHER: 1.1 x 0.9 x 4 cm hypoechoic focus within level 5 on the left corresponding to known neurofibroma.
Interval appearance of hypoechoic focus posterior to the right carotid artery at level 4. Nodal recurrence cannot be excluded; would recommend ultrasound-guided FNA biopsy.