47-year-old male patient with history of lymphoma, papillary thyroid cancer for thyroidectomy, lymph node mapping. RIGHT LOBE MEASUREMENTS: 5.4 x 2.1 x 2.2 cm, previously 6.0 x 2.5 x 2.0 cm.LEFT LOBE MEASUREMENTS: 4.8 x 1.9 x 1.7 cm, previously 5.3 x 1.8 x 1.7 cm.ISTHMUS MEASUREMENTS: 3 mm in thickness.RIGHT LOBE: The right thyroid lobe is diffusely heterogeneous in echotexture. Again seen is a complex cystic mass in the mid to inferior right lobe measuring approximately 1.2 x 1.3 x 1.3 cm. This has internal round calcifications as well debris.LEFT LOBE: The left thyroid lobe is diffusely heterogeneous in echotexture without a dominant thyroid mass.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Numerous enlarged lymph nodes are noted in the neck bilaterally including the submandibular regions.A right submandibular region lymph node measures 3.0 x 0.8 x 2.6 cm. A right level two lymph node measures 2.0 x 0.7 cm. Multiple additional right level three and level four lymph nodes are seen. These lymph nodes appear to have normal morphology.An enlarged lymph node within the left submandibular region measures 1.7 x 1.3 x 1.4 cm and is abnormal in morphology. A left level two lymph node measures 1.5 x 0.6 cm. Additional lymph nodes are noted within the left three and four stations.OTHER: No significant abnormality noted.
1. Dominant right thyroid nodule, previously biopsied demonstrating papillary thyroid cancer.2. Enlarged bilateral submandibular and neck lymph nodes, many of which demonstrate normal morphology except for a left submandibular region node. 