57 years old, Female, Reason: eval for parathyroid adenomas/hyperplasia, plan for possible parathyroidectomy History: primary hyperparathyroidism (hypercalemia, hyperparathyroidism), fatigue, renal stones, nausea RIGHT LOBE MEASUREMENTS: 5.4 x 2.9 x 3.4 cmLEFT LOBE MEASUREMENTS: The inferior aspect of the left thyroid lobe is below the field of view and appears to extend retrosternally. Measurements are approximately 9.5 x 2.4 x 2.8 cm.ISTHMUS MEASUREMENTS: 1.5 cmRIGHT LOBE: Right spongiform nodule, most consistent with a colloid nodule measuring 2.6 x 1.8 x 2.4 cm.LEFT LOBE: Left lower lobe spongiform nodule measures 3.1 x 2.7 by 3.4 cm. and likely represents a colloid nodule. Inferior portion of the left lower lobe appears nodular and extends retrosternally and is therefore incompletely visualized. We cannot exclude an extrathyroidal mass.ISTHMUS: Spongiform thyroid nodule likely representing a colloid nodule measuring 1.7 x 1.1 x 1.7 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Inferior portion of the left thyroid lobe appears nodular and extends retrosternally beyond the field-of-view on this ultrasound examination. We cannot exclude an extrathyroidal mass or adenoma.2.Multiple bilateral thyroid nodules the largest of which is on the left measuring up to 3.4 cm.