Reason: calcifications of the thyroid also right level 2A lymph node. Evaluate for extent of adenopathy. History: eval thyroid for nodules also right level 2A node and extent of adenopathy. RIGHT LOBE MEASUREMENTS: Measures 4.5 x 2.1 x 2.3 cm.LEFT LOBE MEASUREMENTS: Measures 4.0 x 1.1 x 1.4 cm.ISTHMUS MEASUREMENTS: Measures up to 0.2 cm in thickness.RIGHT LOBE: Multiple nodules. Dominant nodule in the mid pole measures 2.9 x 1.9 x 2.4 cm, is mixed solid and cystic, has mild internal vascularity, and has an area in the inferior portion with punctate reflectors with associated comet tail artifact which is favored to reflect colloid rather than calcifications. Smaller upper pole mixed solid and cystic nodule measuring approximately 1.2 x 1.1 cm.LEFT LOBE: Nodule in the superior pole measures 1.9 x 0.9 x 1.3 cm, is mixed cystic and predominantly solid, is predominantly isoechoic, demonstrates mild internal vascularity, and lacks definite microcalcifications. Overall, this nodule is of low suspicion for neoplasm. Nodule in the inferior pole measures 0.5 x 0.5 x 0.6 cm, is primarily solid, hypoechoic, demonstrates internal vascularity, and contains punctate calcifications.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Several bilateral level 2 cervical lymph nodes are identified, favor benign morphology. Example right level 2 lymph node measures 1.3 x 0.5 x 0.7 cm. Example left level 2 lymph node measures 1.5 x 0.5 x 1.0 cm.OTHER: No significant abnormality noted.
1.Multiple thyroid nodules as described above. At least one suspicious subcentimeter nodule in the left inferior pole would be amenable to fine-needle aspiration.2.Bilateral level 2 cervical lymph nodes, favor benign morphology. However, given history of FDG avidity of cervical lymph nodes, continued follow-up is recommended.