43 years old, Female, Reason: primary hyperparathyroidism, please eval for enlarged parathryroids History: as above RIGHT LOBE MEASUREMENTS: 5.1 x 2.1 x 1.3 cmLEFT LOBE MEASUREMENTS: 5.0 x 2.0 x 1.5 cmISTHMUS MEASUREMENTS: 0.8 cmRIGHT LOBE: Hypoechoic subcentimeter right thyroid nodule measuring 0.4 x 0.3 x 0.4 cm.LEFT LOBE: Left thyroid lobe is without significant abnormality.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Very hypoechoic nodule posterior inferior to the right thyroid lobe is favored to represent a parathyroid adenoma measuring 1.3 x 0.7 x 0.7 cm.LYMPH NODES: No significant abnormality noted.OTHER: Posterior to the left internal jugular vein and definitely separate from the left thyroid lobe is a focus that is slightly hypoechoic to normal thyroid tissue and may represent a hematoma. Special attention to this area should be paid on future scans.
1.Right posterior inferior extrathyroidal nodule consistent with clinically suspected parathyroid adenoma.2.Slightly hypoechoic to normal thyroid tissue and posterior to the left internal jugular vein focus which may represent a hematoma although is indeterminate on this examination. Special attention to this area should be paid on future scans.