Cardiac arrest. Hemodynamic instability. Concern for Graves' disease. RIGHT LOBE MEASUREMENTS: 8.6 x 5.3 x 5.6 cm. LEFT LOBE MEASUREMENTS: 7.0 x 2.8 x 3.7 cm. ISTHMUS MEASUREMENTS: 10 mm in AP dimension.RIGHT LOBE: The right lobe is markedly enlarged, nearly completely comprised of heterogeneous nodules. While some of these nodules appear to be spongiform colloid nodules, others are indeterminate. There is normal to slightly decreased background vascularity.LEFT LOBE: The left lobe is markedly enlarged, nearly completely comprised of heterogeneous nodules. While some of these nodules appear to be spongiform colloid nodules, others are indeterminate. There is normal to slightly decreased background vascularity.ISTHMUS: Enlarged.PARATHYROID GLANDS: Not identified.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multinodular goiter. If there is concern for toxic multinodular goiter, nuclear scintigraphy may be helpful if clinically feasible. These findings would be atypical for Graves' disease, per clinical query.Findings discussed with the covering endocrinology fellow at 3:30 PM on 4/21/2015.