33-year-old female with history of biopsy-proven left papillary thyroid cancer. Assess lymph nodes. RIGHT LOBE MEASUREMENTS: 1.6 x 1.7 x 4.7 cmLEFT LOBE MEASUREMENTS: 1.6 x 1.6 x 4.7 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Right lobe is diffusely heterogeneous. There is a discrete heterogeneous rounded nodule with a hypoechoic rim in the midportion of the right lobe, measuring 1 x 1.2 x 1.3 cm. This has significant peripheral vascularity.LEFT LOBE: Left lobe is diffusely heterogeneous in echotexture. I see no measurable, focal mass within the left lobe.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: See below.LYMPH NODES: Inferior to the right lobe is a 0.2 x 0.4 x 0.6 cm ovoid nodule with an appearance most suggestive of lymph node. Inferior to the left lobe and medial to the vasculature there is a prominent, 0.5 x 0.7 x 1.1 cm lymph node with likely normal morphology.Normal lymph nodes identified bilaterally including a very superficial level 4 node on the left which has a normal appearance and measures 5 mm in greatest diameter.OTHER: No significant abnormality noted.
1. Solid right lobe mass. No left lobe mass identified.2. Diffusely heterogeneous gland with a pattern suggestive of thyroiditis.3. Presumed lymph nodes inferior to both lobes, likely normal, although unusual in position..