Female 78 years old Reason: Hx ESRD with secondary hyperparathyroidisms, evaluate for enlarged parathyroid glands and thyroid nodules RIGHT LOBE MEASUREMENTS: 3.9 x 1.6 x 1.7 cmLEFT LOBE MEASUREMENTS: 4.5 x 1.7 x 1.6 cmISTHMUS MEASUREMENTS: 0.4 cm.RIGHT LOBE: Numerous nodules are present in the right thyroid. Most superior nodule measures 0.8 x 0.9 x 0.7 cm. Mid nodule is partially calcified measuring 0.2 x 0.3 x 0.1 cm. The most inferior right right inferior nodule measures 1.1 x 0.9 x 0.7 cm. Hyperechoic focus in the inferior pole of the right thyroid, given the background nodular thyroid, may represent an exophytic nodule.LEFT LOBE: Small spongiform appearing cyst in the left thyroid lobe measuring 0.5 x 0.6 x 0.5 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Inferior to the left thyroid lobe is a hypoechoic nodule measuring 1.0 x 1.4 x 1.5 cm, consistent with a parathyroid adenoma.LYMPH NODES: Small benign-appearing lymph nodes are present bilaterally.OTHER: No significant abnormality noted.
When correlated with nuclear medicine scan, findings are most consistent with a parathyroid adenoma inferior to the left thyroid lobe. Multiple intrathyroid nodules are present.