1 year follow-up study, assess nodule, rule out worrisome characteristics, history of Graves' disease, also had a small thyroid nodule outside ultrasound RIGHT LOBE MEASUREMENTS: 4 x 1.3 x 1.8 cm, normal echotexture and sizeLEFT LOBE MEASUREMENTS: 4 x 1.1 x 1.5 cm, normal echotexture and sizeISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: Midportion of the right lobe there is a hypoechoic nodule with multiple hyperechoic specks without ringdown artifact that can definitely confirmed that this is a correlate lesion. Increased vascularity is noted of this lesion and few calcifications are noted along the periphery of this nodule.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Normal morphology level 2 left neck lymph node is identified that measures 0.8 x 0.3 x 1.7 cm.OTHER: No significant abnormality noted.
Right lobe hypoechoic nodule with hyperechoic specks without definite ringdown artifact and few peripheral calcifications and increased vascularity needs comparison with prior ultrasound to confirm size and characteristics, which if new from prior exam needs further evaluation with ultrasound-guided FNA