Papillary thyroid carcinoma; assess lymph nodes RIGHT LOBE MEASUREMENTS: 5.3 x 1.3 x 1.7 cmLEFT LOBE MEASUREMENTS: 4 x 1.2 x 1.5 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: 1 x 1 x 0.9 cm lower pole nodule with ill-defined borders, significant internal heterogeneity and punctate calcifications consistent with known papillary thyroid carcinoma. Spongiform nodule mid pole measuring 1.1 x 10.6 x 1 cm. Additional subcentimeter spongiform nodules also noted.LEFT LOBE: Diffusely heterogeneous gland with multiple subcentimeter spongiform nodules.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Worrisome right lower pole nodule with ill-defined borders, significant internal heterogeneity, and punctate calcifications consistent with known papillary thyroid carcinoma. Additional bilateral spongiform nodules. No regional adenopathy.