43-year-old female patient with thyrotoxic symptoms. Evaluate for multinodular goiter, Grave's. RIGHT LOBE MEASUREMENTS: 4.8 x 2.3 x 1.7 cm.LEFT LOBE MEASUREMENTS: 4.4 x 2.5 x 1.8 cm.ISTHMUS MEASUREMENTS: 1.1 cm in thickness.RIGHT LOBE: The right thyroid lobe is heterogeneous in echogenicity without focal lesion. Vascularity is within normal limits on color Doppler imaging.LEFT LOBE: The left thyroid lobe is heterogeneous in echogenicity without focal lesion. Vascularity is within normal limits on color Doppler imaging.ISTHMUS: There is a 1.4 x 0.8 x 0.8 cm heterogeneously hyperechoic solid nodule within the right aspect of the isthmus. The nodule has internal vascularity and no shadowing calcification.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Heterogeneous thyroid gland; correlate with history of thyroiditis.2. Solid right isthmus nodule, which could be related to thyroiditis.