Reason: primary hyperparathyroidism localization please History: hypercalcemia RIGHT LOBE MEASUREMENTS: 6.3 x 2.0 x 1.8 cmLEFT LOBE MEASUREMENTS: 5.2 x 1.6 x 1.2 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Heterogeneous thyroid parenchyma. No focal nodules or masses are identified.LEFT LOBE: Heterogeneous thyroid parenchyma. No focal nodules or masses are identified.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: A 0.9 x 0.5 x 0.3 cm extrathyroidal isoechoic lesion posterior to the right common carotid artery is favored to represent a small cervical lymph node. A nondescript hypoechoic extrathyroidal lesion inferolateral to the inferior pole of the left thyroid lobe is indeterminate and may represent parathyroid tissue or a cervical lymph node.LYMPH NODES: Right level 2 lymph node measures 1.1 x 0.9 x 0.3 cm. Left level 2 lymph node measures 0.9 x 0.7 x 0.4 cm.OTHER: No significant abnormality noted.
Nondescript extrathyroidal lesion inferior to the inferior pole of the left thyroid lobe is indeterminate may represent parathyroid tissue or a cervical lymph node.