Male 69 years old; Reason: US-guided FNA of new right sided node History: h/o thyroid cancer (adn Schwanomma). now with new right sided node On the prior ultrasound a hyperechoic focus was seen on the right concerning for a lymph node recurrence at level 4. This measured 0.9 cm x 0.6 cm x 0.9 cm. The patient presented today for fine needle aspiration of this lesion. However on today's study, this lesion was not identified in trans or longitudinally. No residual lymph node is seen on the right at level 4.
Right level 4 lymph node seen on prior ultrasound was not visualized on this study. Accordingly, no biopsy was performed. However, would recommend continued surveillance follow-up ultrasound in 6 months with special attention to this region.