Female 75 years old Reason: follow up on multiple nodules RIGHT LOBE MEASUREMENTS: 3.8 x 1.1 x 1.1 cm.LEFT LOBE MEASUREMENTS: 4.5 x 0.9 x 1.5 cm.ISTHMUS MEASUREMENTS: 0.2 cm in thickness.RIGHT LOBE: Heterogeneous multinodular gland with numerous nodules. Several contain echogenic foci possibly calcifications. Several cystic areas in some with areas suggesting ring down consistent with colloid nodules.The baseline purposes nodules are indicated in PACS and measured as nodules #1 through 5 as follows:Nodule #1: 0.7 x 0.3 x 0.6 cmNodule #2: 0.8 x 0.4 x 0.7 cmNodule #3: 0.4 x 0.3 x 0.4 cmNodule #4: 0.9 x 0.4 x 0.6 cmNodule #5: 0.7 x 0.3 x 0.4 cmLEFT LOBE: Heterogeneous nodular glands similar to the right. The baseline purposes 3 nodules measure as follows and annotated in PACS.Nodule #1: 1 x 0.6 x 0.9 cmNodule #2: 1.1 x 0.6 x 0.8 cm (cystic)Nodule #3: 0.9 x 0.4 x 0.6 cm (medial near isthmus)ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: Normal blood flow on limited color Doppler imaging. Nodules are relatively hypovascular.
Numerous nodules bilaterally solid somewhat cystic components some with calcifications. Some with slightly spongiform character and ring down suggestive of colloid nodules. No dominant nodule. Nodules are more numerous compared to the last thyroid study in PACS dated 11/21/2006.