57 year old male patient with history of thyroid cancer and SCC of the neck status post surgery, radiation therapy, and iodine therapy. RIGHT LOBE: Status post thyroidectomy without residual parenchymal tissue identified.LEFT LOBE: Status post thyroidectomy without residual parenchymal tissue identified.ISTHMUS: Status post thyroidectomy.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: There is a left level III 0.5 x 0.5 x 0.6 cm round hypoechoic nodule with slightly increased vascularity and a 0.7 x 0.5 cm left level IV hypoechoic nodule with questioned microcalcification. Additional benign morphology lymph nodes are noted in the left neck.OTHER: No significant abnormality noted.
Two hypoechoic nodules within the left neck which are suspicious for metastatic disease; ultrasound guided biopsy is recommended for further evaluation. 