64-year-old female with goiter, history of Graves' disease and nodules. RIGHT LOBE MEASUREMENTS: 6.4 x 2.9 x 2.4 cmLEFT LOBE MEASUREMENTS: 6.2 x 2.4 x 2.8 cmISTHMUS MEASUREMENTS: 0.8 cmRIGHT LOBE: Mildly and diffusely heterogeneous. In the upper pole there is a hypoechoic and somewhat spongiform nodule measuring 0.6 x 0.9 x 0.9 cm review of the prior study demonstrates this is unchanged. There may be a spongiform nodule in the posterior upper pole measuring 1 x 0.9 x 1.2 cm. It is likely that this was present on the prior study. Other, smaller complex cystic nodules are present as well.LEFT LOBE: Mildly and diffusely heterogeneous. Isoechoic but mildly heterogeneous nodule in the midportion of the left lobe with a somewhat spongiform appearance measures 0.9 x 1.3 x 1.3 cm. Review of the prior study demonstrates that this is likely unchanged in the interim although with certainly less well-visualized on the prior exam. Previously noted left upper pole nodule is not visualized. ISTHMUS: Mildly and diffusely heterogeneous in echotexture.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Bilateral thyroid nodules. Although at least 3 nodules were not previously measured but appear unchanged. 