74-year-old female presents for evaluation of her thyroid. RIGHT LOBE MEASUREMENTS: 5.2 x 1.8 x 1.8 cm.LEFT LOBE MEASUREMENTS: 6.7 x 3.4 x 3.0 cm.ISTHMUS MEASUREMENTS: 0.9 cm.RIGHT LOBE: The right lobe is very heterogenous. Multiple nodules, the largest measures 1.9 x 0.9 x 1.2 cm in the superior aspect of the right lobe; is solid with mixed echogenicity. Other scattered subcentimeter nodules throughout the right thyroid.LEFT LOBE: Left lobe is very heterogenous. Multiple nodules, the largest measuring approximately 4.2 x 2.7 x 2.4 cm; is solid with mixed echogenicity. Other scattered subcentimeter nodules throughout the left thyroid.ISTHMUS: Very heterogeneous parenchyma without discrete nodule.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Multinodular goiter as described above.2. Asymmetrically smaller right lobe nonspecific but may represent postsurgical appearance.