84-year-old male with history of multinodular goiter. Evaluate degree of substernal component. Evaluate for growth of nodules, adenopathy. RIGHT LOBE MEASUREMENTS: 6.5 cm x 3.1 cm x 2.5 cmLEFT LOBE MEASUREMENTS: 7.5 cm x 3.4 cm x 3.3 cmISTHMUS MEASUREMENTS: 3 mm in thicknessRIGHT LOBE: Heterogeneous in echotexture. Dominant solid nodule at the mid pole measures 2.9 cm x 2.2 cm x 3.8 cm, not significantly changed from prior exam. Subcentimeter cystic nodule at the upper pole is unchanged.LEFT LOBE: Heterogeneous in echotexture. Dominant heterogeneous solid nodule at the mid to inferior pole is difficult to definitively measure due to substernal extension however measures approximately 2.5 cm x 3.1 cm x 3.7 cm, not significantly changed. Previously noted smaller spongiform nodule at the mid pole is less apparent on today's exam but likely smaller in size.ISTHMUS: Solid isthmus nodule is again seen measuring 1.0 cm x 0.6 cm x 1.1 cm not significantly changed.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Heterogeneous thyroid gland with multiple bilateral thyroid nodules not significantly changed compared to prior exam.