39 year old female with low TSH. RIGHT LOBE MEASUREMENTS: 4.9 cm x 2.0 cm x 1.6 cmLEFT LOBE MEASUREMENTS: 5.5 cm x 1.8 cm x 1.4 cmISTHMUS MEASUREMENTS: No significant abnormality noted.RIGHT LOBE: Heterogeneous echotexture with two nodules noted, dominant nodule in the lower pole is is predominately cystic measuring 2.5 cm x 1.4 cm x 1.1 cm. The second smaller nodule is mixed solid cystic and appears spongiform in appearance. LEFT LOBE: Heterogeneous echotexture containing multiple nodules which are mixed solid cystic in appearance and containing echogenic foci with comet tail artifact most consistent with colloid nodules. Reference nodule in the lower pole measures 1.1 cm x 0.9 cm x 1.2 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Right neck level 3 benign appearing lymph node measuring 0.5 cm x 0.3 cm x 1.3 cm.Additional left level 2 lymph node not containing a prominent fatty hilum measures 1.1 cm x 0.9 cm x 0.5 cm. OTHER: No significant abnormality noted.
1. Heterogeneous thyroid gland suggestive of thyroiditis. Bilateral thyroid nodules as described above for which continued surveillance is recommended. 2. Bilateral neck lymph nodes with lymph node in the left neck not containing a prominent fatty hilum and is likely reactive. Continued surveillance is recommended. 