48-year-old female patient with history of goiter. Now with thyroid tenderness, possible subacute thyroiditis which did not respond to steroids. Question of masses or other lesions. RIGHT LOBE MEASUREMENTS: 2.3 x 2.7 x 6.7 cm, previously 2.2 x 1.9 x 6.17 cm.LEFT LOBE MEASUREMENTS: 2.2 x 3.1 x 8.3 cm, previously 3.0 x 3.0 x 7.7 cmISTHMUS MEASUREMENTS: 7 mm in thickness.RIGHT LOBE: A solid nodule with cystic spaces within the right midpole measures 1.6 x 1.2 x 1.0 cm, previously 1.3 x 1.0 x 1.5 cm. A spongiform-appearing nodule near the isthmus measures 1.0 x 0.4 x 1.1 cm, previously 1.2 x 0.5 x 1.0 cm.LEFT LOBE: A dominant left lower pole complex solid nodule is similar in appearance to the prior study measuring 3.7 x 2.4 x 2.8 cm, previously 3.6 x 2.4 x 2.8 cm. An additional hypoechoic nodule within the posterior medial aspect of the lower pole is similar in size measuring 0.9 x 0.8 x 0.4 cm, previously 0.8 x 1.1 x 0.5 cm. However, the appearance has changed now with a more defined cystic component and nodular solid component which could be related to hemorrhage.ISTHMUS: A predominately solid nodule with cystic spaces within the isthmus measures 1.0 x 0.6 x 1.1 cm, previously 1.2 x 1.0 x 1.3 cm. PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Bilateral neck lymph nodes are noted.OTHER: No significant abnormality noted.
Similar size and appearance of multiple bilateral thyroid nodules except for a hypoechoic left lower pole nodule which has more defined cystic and solid components.