Evaluate for thyromegaly RIGHT LOBE MEASUREMENTS: 6. 2 x 2 x 2 cm, heterogenous echotextureLEFT LOBE MEASUREMENTS: 5.1 x 2.7 x 2.7 cm, heterogenousISTHMUS MEASUREMENTS: 1.1 cmRIGHT LOBE: 2 subcentimeter nodules identified in the right lobe mid pole, one which appears completely cystic and measures 6 x 4 x 5 mm and the other nodule that appears hypoechoic/solid that measures 7 x 5 x 3 mm.LEFT LOBE: Large heterogenous lobulated solid mass with microcalcifications involving the mid to inferior pole of the left lobe measures 1.6 x 2 x 1.9 cm. A second solid nodule has been measured in the midpole which appears to be contiguous with the larger inferior pole nodule. A cystic small nodule in the midpole measures 9 x 5 x 6 mm.ISTHMUS: Solid nodule involving the isthmus measures 3.1 x 1.3 x 0.8 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Multiple enlarged level 3 and 4 left neck lymph nodes with effaced hila, largest measuring 5.7 x 1.2 x 2.5 cmLevel 2 and level 3 right neck lymph nodes with normal morphology noted.OTHER: No significant abnormality noted.
Suspicious left inferior pole nodule with microcalcifications needs further evaluation with ultrasound-guided FNA. Multiple enlarged left level 3 and 4 neck nodes. 