32 year-old female with goiter. RIGHT LOBE MEASUREMENTS: 5.6 x 2.0 x 1.7 cmLEFT LOBE MEASUREMENTS: 6.0 x 1.9 x 1.5 cmISTHMUS MEASUREMENTS: 5 mmRIGHT LOBE: The right thyroid lobe is heterogeneous in echotexture with multiple sub-5 mm hypoechoic nodules with no discrete dominant nodule. LEFT LOBE: The left thyroid lobe is heterogeneous in echotexture with multiple sub-5 mm hypoechoic nodules with no discrete dominant nodule. Adjacent to the inferior aspect of the left thyroid lobe there is an 8 x 5 x 8 mm hypoechoic focus which may represent an exophytic nodular extension of the thyroid gland or an enlarged parathyroid adenoma. ISTHMUS: The isthmus is heterogeneous in echotexture with multiple subcentimeter hypoechoic nodules.PARATHYROID GLANDS: See above.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Heterogeneous thyroid gland with numerous sub-5 mm hypoechoic nodules with no discrete dominant nodule. Adjacent to the inferior left thyroid lobe there is an 8-mm focus which may represent an exophytic nodular extension of the thyroid gland or a parathyroid adenoma; correlate with serum calcium and PTH.