62-year-old male with history of thyroid cancer, status post thyroidectomy. THYROID: The patient is status post thyroidectomy. RIGHT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LEFT THYROIDECTOMY BED: Within the superior left thyroidectomy bed there is a 5 x 4 x 4 mm hypoechoic focus which is not clearly demonstrated on the recent prior study. No evidence of calcifications or hypervascularity. Focus is non-specific and indeterminate in appearance. The 12/05/2012 study demonstrated a similar appearing focus measuring 5 x 5 x 5 mm, however, the anatomic location cannot be confirmed with certainty. Attention to this region on subsequent follow-up imaging is recommended. ISTHMUS BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LYMPH NODES: Bilateral morphologically unremarkable and normal-sized lymph nodes are identified.PARATHYROID GLANDS: No significant abnormality noted.OTHER: At level 4 of the left side of the neck there is a 9 x 8 x 7 mm hypoechoic focus which appears to connect to adjacent vasculature, and may represent a small tributary vessel. Attention to this region on subsequent follow up is recommended.
1. Indeterminate 5-mm focus within the superior left thyroidectomy bed, not noted on the immediate prior study, but may correspond to a 2012 study finding although the anatomic location cannot be confirmed with certainty. Attention to this area on subsequent follow-up ultrasound is recommended.2. 9-mm hypoechoic focus at level for the left side of the neck; favor a small tributary vessel as opposed to a small lymph node. Attention to this region on subsequent imaging is recommended.