Hyperparathyroidism RIGHT LOBE MEASUREMENTS: 4.2 x 1.4 x 1.8 cmLEFT LOBE MEASUREMENTS: 4.8 x 1.6 x 1.7 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Upper pole spongiform nodule measuring 1 x 0.7 x 0.9 cmLEFT LOBE: Multiple spongiform nodules. A representative mid pole nodule measures 1 x 0.8 x 0.9 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: 1.7 x 1.2 x 0.9 cm hypoechoic extrathyroidal focus projecting posterior and inferior to the right thyroid gland. This hypoechoic focus demonstrates what appears to be a fatty hilum.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Bilateral spongiform thyroid nodules; favor benign etiology. Hypoechoic extrathyroidal focus projecting posterior and inferior to the right thyroid gland. While this lesion's morphology favors a lymph node, a parathyroid adenoma cannot be excluded. Would recommend correlation with radionuclide study. No regional adenopathy.