32-year-old male with a provided history of left-sided thyroid nodule and papillary thyroid cancer. RIGHT LOBE MEASUREMENTS: 1.9 x 2.1 x 5.6 cmLEFT LOBE MEASUREMENTS: 1.7 x 1.9 x 5.1 cmISTHMUS MEASUREMENTS: 1 mmRIGHT LOBE: The right thyroid parenchyma is normal in morphology, echogenicity, and size.LEFT LOBE: Seen again in the inferior left thyroid lobe is a 1.4 x 1.2 x 1.5 cm hypoechoic nodule with associated coarse and micro-calcifications, posterior shadowing and lobulated margins. In the medial aspect of the inferior left thyroid lobe is a 6 x 4 x 6 mm very hypoechoic nodule without significant vascularity or definite calcifications.In the lateral aspect of the inferior left lobe is a 5 x 4 x 4 mm hypoechoic nodule without significant vascularity or definite calcifications.The background thyroid parenchyma is normal in echogenicity.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: There is a suspicious left level 4 lymph node measuring 9 x 7 x 9 mm with a round morphology, mild vascularity and possible non-shadowing microcalcifications.Right level 4 lymph node measuring 8 x 3 x 5 mm is oval shaped with a probable fatty hilum.Right level 2 lymph node measuring 6 x 3 x 5 mm, is oval-shaped with a probable fatty hilum although underlying non-shadowing microcalcifications cannot be entirely excluded.
1. 1.5 cm left thyroid nodule with features consistent with provided history of papillary thyroid carcinoma. Additional left indeterminate subcentimeter nodules. 2. Left level 4 lymph node is suspicious for nodal metastatic disease. 3. Right sided lymph nodes, with benign-favoring appearance, see above.