Enlarged thyroid on exam RIGHT LOBE MEASUREMENTS: 3.6 x 1.8 x 1.7 cmLEFT LOBE MEASUREMENTS: 5.3 x 2.2 x 2.5 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Diffusely heterogeneous gland. Predominantly solid lower pole nodule measuring 0.6 x 0.6 x 0.6 cm. Predominantly cystic subcentimeter nodule mid pole measuring 0.4 x 0.3 x 0.4 cm.LEFT LOBE: Diffusely heterogeneous gland. Predominantly solid lower pole nodule measuring 2.2 x 1.7 x 1.8 cm. Subcentimeter cystic focus also noted within the mid pole.ISTHMUS: Diffusely heterogeneous glandPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Diffusely heterogeneous gland. Predominantly solid left lower pole nodule; this lesion is amenable to ultrasound-guided biopsy. Additional subcentimeter nodules as described. No thyromegaly. No regional adenopathy.