Female 65 years old; Reason: primary hyperparathyroidism, evaluate parathyroid glands History: primary hyperparathyroidism RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 4.8 x 1.2 x 1.3 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 4.8 x 2.5 x 2.0 cm.ISTHMUS MEASUREMENT: The isthmus measures 0.1 cm.RIGHT LOBE: The right lobe is heterogeneous. There is a nodule in the right mid thyroid that is isoechoic to slightly hyperechoic measuring 0.9 cm x 0.9 cm x 1.7 cm. There is internal vascular flow. No internal microcalcifications are seen.LEFT LOBE: The left lobe is heterogeneous. At the mid/lower pole there is a hyperechoic spongiform solid/cystic nodule measuring 2.2 cm x 1.9 cm x 2.9 cm. This has internal vascularity. No internal microcalcifications are seen.ISTHMUS: A hypoechoic nodule is seen within the isthmus measuring 0.6 cm x 0.5 cm x 1.0 cm. There is internal vascular flow. No internal microcalcifications are seen.LYMPH NODES: No suspicious adenopathy noted. OTHER: Inferior and posterior to the right lobe, there is a hypoechoic extrathyroidal round nodule measuring 0.9 cm x 0.5 cm x 0.3 cm which may represent a parathyroid gland.
1. Inferior/posterior to the right thyroid lobe, there appears to be an extrathyroidal nodule which may represent a parathyroid gland. Correlation can be made with a nuclear medicine study.2. There is a dominant nodule in the mid right thyroid measuring 0.9 cm x 0.9 cm x 1.7 cm. This has internal vascular flow and is amenable to biopsy.3. At the mid/lower pole of the left thyroid gland there is a spongiform nodule measuring 2.2 cm x 1.9 cm x 2.9 cm this is also amenable to biopsy.