Recurrent hoarseness and difficulty swallowing for 6 months, nontoxic goiter RIGHT LOBE MEASUREMENTS: 4.9 x 1.8 x 1.9 cm, normal echotexture and sizeLEFT LOBE MEASUREMENTS: 4.9 x 2.1 x 2.2 cm, normal echotexture and sizeISTHMUS MEASUREMENTS: 4 mmRIGHT LOBE: Subcentimeter small mostly cystic nodule in the midpole of the right lobe measures 0.4 x 0.2 x 0.4 cm.LEFT LOBE: A large solid hypoechoic nodule with adjacent halo in the left mid pole measures 1.7 x 1.2 x 1.7 cm with minimal peripheral blood flow.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: left lateral level 2 neck lymph node measuring 0.7 x 0.8 cm with effaced hilum is noted.OTHER: No significant abnormality noted.
Dominant solid hypoechoic nodule with adjacent halo in the left thyroid gland is amenable to FNA.Subcentimeter left lateral level 2 neck lymph node with effaced hilum is indeterminate. 