Male 58 years old; Reason: R thyroid nodule r/o thyroid cancer vs. goiter History: asymptomatic nodule RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 1.7 x 1.7 x 7.9 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 1.6 x 1.5 x 5.0 cm.ISTHMUS MEASUREMENT: The isthmus measures 0.7 cm.RIGHT LOBE: Along the inferior border between the right lobe and isthmus a predominantly cystic dominant nodule is visualized with internal mural nodularity. This measures 3.2 cm x 2.1 cm x 3.2 cm. No internal vascularity is seen.LEFT LOBE: There is a hypoechoic subcentimeter nodule in the left inferior thyroid lobe. Additionally, in the inferior left thyroid lobe there is a hyperechoic nodule measuring 0.7 cm x 0.4 cm x 1.1 cm. This has minimal internal vascularity.ISTHMUS: No significant abnormality noted.LYMPH NODES: No suspicious adenopathy noted. On the left at level 3, a lymph node with a fatty hilum is seen measuring 0.5 cm x 0.3 cm x 1.2 cm.
1.At the inferior border between the right lobe and isthmus a dominant nodule is identified measuring 3.2 cm x 2.1 cm x 3.2 cm. This nodule is predominantly cystic with some mural internal nodularity; the nodular solid component is amenable to ultrasound-guided percutaneous biopsy.2.Two subcentimeter nodules are seen on the left thyroid lobe, as above.3.No suspicious regional adenopathy is identified.