45-year-old male with history of thyroid cancer and resection of previous abnormal nodes. Evaluate.Review of pathology report dated 7/16/2014, patient with interval lymph node dissection with evidence of metastatic papillary thyroid cancer in the left lymph node dissection. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Right: There is a benign appearing level 2/3 lymph node measuring 2.7 x 1.2 x 0.4 cm.Left: At the inferior aspect of the left thyroid bed, there is a round hypoechoic focus measuring 1.1 x 0.8 x 0.8 cm with suggestion of fatty hilum; however, the cortex is abnormally thickened.There is benign appearing left level 2/3 lymph node measuring 2.4 x 1.1 x 0.6 cm.OTHER: No significant abnormality noted.
Round hypoechoic focus at the inferior aspect of left thyroid bed with suggestion of a fatty hilum but thickened cortex. In light of history of interval resection with tumor positive lymph nodes, this is worrisome for additional tumor.