62 year old female with multinodular goiter. Evaluate for change in nodules. RIGHT LOBE MEASUREMENTS: 6.9 cm x 3.0 cm x 2.0 cmLEFT LOBE MEASUREMENTS: 8.4 cm x 3.9 cm x 2.7 cmISTHMUS MEASUREMENTS: 3 mm in thicknessRIGHT LOBE: Heterogeneous in echotexture with multiple nodules similar to prior study. Small right lower pole nodule with coarse calcification measures 4 mm x 4 mm x 4 mm, previously 3 mm x 4 mm x 5 mm.LEFT LOBE: Heterogeneous in echotexture with multiple nodules similar to prior study. Dominant nodule in the midpole measures 3.5 cm x 3.3 cm x 2.3 cm previously measured 3.3 cm x 3.3 cm x 2.2 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Multiple bilateral lymph nodes, although few mildly prominent, benignity favored given fatty hila, may be reactive in etiology. Left benign appearing lymph node measures 1.5 cm x 0.9 cm x 0.5 cm. Multiple benign appearing lymph nodes are seen in the right neck, one which measures 1.0 cm x 0.6 cm x 1.7 cm. OTHER: No significant abnormality noted.
Heterogeneous nodular thyroid compatible with multinodular goiter not significantly changed.