Female; 76 years old. Reason: evaluate nodularity, History: concern for parathyroid adenoma RIGHT LOBE MEASUREMENTS: 4.9 x 1.8 x 1.1 cmLEFT LOBE MEASUREMENTS: 4.3 x 1.8 x 1.9 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: The thyroid gland is mildly heterogeneous. Along the posterior inferior aspect of the right lobe of the thyroid gland is an ovoid, heterogenous structure. This is hypervascular compared to the background thyroid. It measures approximately 1.1 by 0.8 cm transverse by AP however the margins are somewhat indistinct making precise measurement difficult.LEFT LOBE: Thyroid gland is mildly heterogeneous. In the midgland is a subcentimeter 0.8 x 0.7 x 0.5 cm (previously 0.7 x 0.7 x 0.5 cm) heterogeneous, hypoechoic at least partially solid nodule with internal vascularity.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: 0.7 x 0.7 x 0.5 cm right level 3 lymph node with fatty hilum.OTHER: Note is made of left internal jugular vein thrombosis.
1. Stable left thyroid nodule.2. Heterogeneous structure alluded to above appears to be outside of the right thyroid lobe and has imaging features suggestive of a parathyroid adenoma. Correlation is recommended with patient's clinical history and laboratory results.3. Left internal jugular vein thrombosis.Findings discussed with Louann Shea APN at 5:13 pm on 2/20/2015.