64-year-old female with history of goiter seen on chest x-ray. RIGHT LOBE MEASUREMENTS: 5.8 x 1.4 x 1.7 cmLEFT LOBE MEASUREMENTS: 4.7 x 2.8 x 2.1 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Subcentimeter partially cystic nodule in the right lobe measures 0.5 x 0.5 x 0.5 cm. Mildly heterogeneous background gland. LEFT LOBE: Dominant left thyroid lobe nodule which is solid with a central cystic component measures 2.2 x 1.6 x 2.7 cm. A more posteriorly located smaller nodule with spongiform features measures 1.2 x 1.2 x 1.6 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Scattered cervical lymph nodes with benign morphologic features.OTHER: Incidental note of calcification and atherosclerotic plaque with stenosis of both carotid arteries at the bifurcations.
1. Thyroid nodules greater on the left as detailed above. 2. Incidental note of calcification and atherosclerotic plaque with stenosis of both carotid arteries at the bifurcations. Recommend a dedicated carotid vascular ultrasound examination for further evaluation. 