50 year-old female with goiter. RIGHT LOBE MEASUREMENTS: 8.3 x 7.2 x 5.4 cm.LEFT LOBE MEASUREMENTS: 5.5 x 3.4 x 2.7 cm.ISTHMUS MEASUREMENTS: 7 mm.RIGHT LOBE: The right lobe is enlarged and nearly entirely replaced by a dominant predominantly solid nodule with cystic components. LEFT LOBE: The left lobe of the thyroid is enlarged and nearly entirely replaced by a dominant predominantly solid isoechoic nodule with cystic components, measuring 4.6 x 2.5 x 3.2 cm. There is associated internal vascularity as well as a peripheral hypoechoic halo. These findings are consistent with an indeterminate nodule.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. 4.6-cm indeterminate nodule in the left lobe of the thyroid gland. Further evaluation with FNA is recommended.2. Diffusely enlarged, heterogeneous thyroid gland, consistent with the stated history of goiter.