48-year-old male with right vocal cord small cell carcinoma. Evaluate for thyroid mass/neuroendocrine tumor. Thyroid incompletely imaged due to substernal extent.RIGHT LOBE MEASUREMENTS: 4.7 x 3 x 6.8 cmLEFT LOBE MEASUREMENTS: 5.3 x 4.1 x 8.5 cmISTHMUS MEASUREMENTS: 1.3 cmRIGHT LOBE: Enlarged and diffusely heterogeneous in echotexture. There is a 1 x 0.7 x 1.1 cm nodule which is predominantly isoechoic with the remainder of the thyroid and with an incomplete hypoechoic rim.LEFT LOBE: Enlarged and diffusely heterogeneous in echotexture. Complex cystic nodule in the mid left lobe measuring 0.6 x 1.4 x 1.4 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: At level 3-4 on the right there is a 1 x 1.8 x 1.3 cm lymph node which is more rounded than typical and without definite hilum. Second nondescript and smaller node at level 3 on the right.OTHER: Extensive, incompletely occlusive thrombus in the right internal jugular vein associated with catheter.
Goiter with substernal extension. Solid right nodule, complex cystic left nodule. Right nodule would be amenable to biopsy if desired.At least one abnormal-appearing right cervical lymph node at level 3-4.Extensive thrombus right internal jugular vein.These results were discussed with Maureen Crowley, pager 5508 at 11:30 AM.