Low TSH, thyroid enlargement also cervical RIGHT LOBE MEASUREMENTS: 7.3 x 3.3 x 2.7 cm. Heterogenous echotexture, increased in size with increased vascularity.LEFT LOBE MEASUREMENTS: 6.6 x 2.9 x 2.3 cm, heterogenous echotexture, increased in size with increased vascularity.ISTHMUS MEASUREMENTS: 1 cmRIGHT LOBE: Large solid slightly hyperechoic mass with a hypoechoic halo identified in the inferior pole that measures 3.4 x 2.3 x 3.2 cm and needs further evaluation with fine-needle aspiration. LEFT LOBE: Heterogenous echotexture without any definite focal lesion.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Multiple enlarged reactive lymph nodes along the left level 5 chains, largest measuring 1.8 x 0.4 x 0.9 cm.OTHER: No significant abnormality noted.
Heterogenous echotexture of the thyroid gland suggestive of background thyroiditis.Dominant solid mass in the right lobe amenable to FNA.Level 5 left neck lymph nodes prominent, mostly reactive.