Female 45 years old; Reason: r/o growth of nodules, adenopathy, worrisome characteristics History: multinodular goiter RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 3.4 x 3.0 x 6.9 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 2.7 x 3.1 x 7.2 cm.ISTHMUS MEASUREMENT: The isthmus measures 0.7 cm.RIGHT LOBE: There are 3 nodules located within the right lobe which appear heterogeneous and iso to slightly hyperechoic with a hypoechoic rim. The first is located superiorly and measures 3.1 cm x 2.7 cm x 3.4 cm., Increased slightly in size. The second is located in the midportion of the right lobe and measures 2.6 cm x 2.5 cm x 2.2 cm., without changeThe third is located inferiorly and measures 2.2 cm x 1.9 cm x 2 cm., Without significant change.LEFT LOBE: There are 2 nodules located within the left lobe. The first is located superiorly and measures 2.4 cm x 1.9 cm 3.1 cm. ,without change.The second nodule is located superiorly and posteriorly, and measures 1.7 cm x 1.4 cm x 1.4 cm. Although not measured on the prior study, this was present and likely is unchanged.Additionally, a round poorly visualized hypoechoic mass is seen inferior to the left thyroid measuring 3.7 cm x 4.0 cm x 3.1 cm. This may extend below the clavicle, and although this wasn't seen on prior the study, it was visualized in the 2013 ultrasound.ISTHMUS: There is a heterogeneous nodule located within the isthmus and measures 2.2 cm x 1.9 cm x 2.1 cm.LYMPH NODES: No suspicious adenopathy noted.
1.Multinodular goiter as seen on prior ultrasound. The majority of the nodules, as described above, appear to be relatively stable in size. No suspicious adenopathy is seen.2.There is a poorly visualized hypoechoic nodule seen inferior to left thyroid that may extend below the clavicles. Further cross-sectional imaging can be considered if indicated. This was also not well visualized on the prior study but was present on the prior 2013 ultrasound.