Female 34 years old Reason: Change in node History: Thyroid cancer with elevated thyroglobulin and previous indeterminate node MEASUREMENTS: Patient is status post thyroidectomy.RIGHT LOBE: A nodule is present within the right thyroidectomy bed. Solid-appearing nodule in the right thyroidectomy bed with homogeneous isoechoic echotexture measures 1.2 x 0.5 x 0.6 cm, previously 1.1 x 0.4 x 0.4 cm. There is a newly recognized hypoechoic nodule posterior to the carotid, which is favored to represent a lymph node measuring 0.6 x 0.6 x 0.9 cm.LEFT LOBE: Unchanged, small hypoechoic nodule in the left thyroid lobe measuring 0.5 x 0.4 x 0.4 cm.ISTHMUS: There is a new hypoechoic nodule in the area of the isthmus, which is favored to represent a small lymph node measuring 1.0 x 0.7 x 0.4 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Unchanged small benign-appearing lymph nodes are present within the right and left neck.OTHER: No significant abnormality noted.
1.Multiple small thyroid nodules are not significantly changed.2.There is a new hypoechoic nodule in the area of the isthmus. Recommend attention to this area on follow-up exams to ensure stability.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.