History of Hashimoto's thyroiditis with right nodule, evaluate for change. RIGHT LOBE MEASUREMENTS: 4.2 x 2.2 x 1.7 cm.LEFT LOBE MEASUREMENTS: 4.1 x 1.6 x 1.7 cm.ISTHMUS MEASUREMENTS: 0.5 cm.RIGHT LOBE: Heterogeneous echotexture with increased vascularity. Previously described possible subcentimeter discrete nodule within the midpole not well seen on today's examination.LEFT LOBE: Heterogeneous echotexture with increased vascularity. No discrete nodules delineated.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: See discussion below. LYMPH NODES: A few benign morphology cervical lymph nodes are noted. In addition, there are 2 oval-shaped hypoechoic structures posterior to the inferior pole of the left lobe of the thyroid the larger of which measures 1.0 x 0.9 x 0.6 cm. There is a suggestion of hilar blood flow and fatty hila.OTHER: No significant abnormality noted.
1.Diffusely heterogeneous thyroid gland with increased vascularity, appearance suggestive of underlying thyroiditis. Previously described subcentimeter right thyroid nodule is not well seen today.2.Subcentimeter hypoechoic structures posterior to the inferior pole of the left thyroid which are nonspecific but are favored to represent lymph nodes. However, if there is clinical suspicion for hyperparathyroidism, evaluation for parathyroid adenoma/hyperplasia with nuclear medicine scan can be considered as clinically warranted.