Female, 50 years old. Reason: thyromegaly History: thyromegaly x5 months RIGHT LOBE MEASUREMENTS: 1.9 x 2.1 x 6.5 cmLEFT LOBE MEASUREMENTS: 2.9 x 2.3 x 6.8 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Mildly heterogeneous echotexture. A right lower pole nodule measures 0.8 x 0.6 x 0.6 cm, cystic and solid/spongiform, well marginated, without significant increased vascularity. An additional right lower pole nodule measures 1.0 x 0.4 x 0.9 cm, well marginated, cystic and solid with punctate echogenic foci.LEFT LOBE: Mildly heterogeneous echotexture. An ill-defined area of heterogeneity in the left lower pole measures 4.4 x 1.8 x 2.6 cm, with mild internal vascularity and punctate echogenic foci with suggestion of ringdown artifact.ISTHMUS: Mildly heterogeneous echotexture. A nodule at the junction of the isthmus and left lobe measures 0.8 x 0.7 x 0.8 cm, well marginated, solid and heterogeneous, noncalcified, with peripheral vascularity.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Enlarged, heterogeneous thyroid, with cystic and solid nodules as detailed above. A dominant nodule in the left lower pole measures up to 4 cm, punctate echogenic foci with associated ringdown artifact suggested, seen in setting of inspissated colloid. However, if there is continued clinical concern, benignity of this nodule may be confirmed with dedicated fine needle aspiration. Additional small nodules measure up to 1 cm. 