54-year-old female patient with history of thyroid nodules. RIGHT LOBE MEASUREMENTS: 6.0 x 3.0 x 2.1 cm.LEFT LOBE MEASUREMENTS: 9.0 x 4.4 x 3.2 cm.ISTHMUS MEASUREMENTS: 2 cm in thickness.RIGHT LOBE: The right thyroid lobe is diffusely heterogeneous containing multiple nodules some of which are spongiform in appearance. A dominant heterogeneous solid nodule within the right lower pole measures 1.3 x 0.7 x 1.6 cm. This nodule demonstrates internal vascularity. There is no shadowing calcifications within it.LEFT LOBE: The left thyroid lobe is predominantly replaced by two large nodules. The first nodule is within the midpole and is predominantly solid with cystic spaces measuring 5.0 x 2.8 x 4.0 cm. There is some internal vascularity and no shadowing calcifications within it. The second nodule within the lower pole is heterogeneously solid with cystic spaces measuring approximate 4.3 x 3.6 x 5.2 cm. There is some peripheral vascularity of this nodule and no shadowing internal calcifications.ISTHMUS: The isthmus is diffusely heterogeneous in echogenicity without discrete nodule.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Bilateral thyroid nodules with two large, predominately solid left thyroid nodules which are amenable to biopsy.