Left-sided papillary thyroid carcinoma. Assess for suspicious lymph nodes. RIGHT LOBE MEASUREMENTS: 5.3 x 1.9 x 1.7 cmLEFT LOBE MEASUREMENTS: 6.2 x 1.6 x 1.7 cmISTHMUS MEASUREMENTS: 2 mm in AP dimensionRIGHT LOBE: A heterogeneous nodule in the lower pole measures 1.5 x 0.8 x 1.1 cmLEFT LOBE: A heterogeneous nodule in the upper pole with microcalcifications measures 0.9 x 0.8 x 1.0 cm, compatible with the patient's known history of papillary carcinoma.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Not identifiedLYMPH NODES: A left lateral neck level 3 lymph node measuring 3 mm in short axis contains punctate echogenic foci which may represent microcalcifications, though this is nonspecific in appearance.OTHER: No significant abnormality noted.
1. Heterogeneous left thyroid lobe nodule identified, compatible with the patient's known history of papillary carcinoma.2. Subcentimeter left level 3 lymph node with punctate echogenic foci possibly representing microcalcifications, however this is nonspecific in appearance.