Female 38 years old; enlarged thyroid gland on exam RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 5.2 x 1.6 x 1.7 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 5.0 x 1.9 x 1.9 cm.ISTHMUS MEASUREMENT: The isthmus measures 0.8 cm.RIGHT LOBE: The right lobe is heterogeneous with a reticular pattern seen throughout. No dominant nodules are identified.LEFT LOBE: The left lobe is heterogeneous with a reticular pattern seen throughout. No dominant nodules identified.ISTHMUS: No significant abnormality noted.LYMPH NODES: No suspicious adenopathy noted. OTHER: Inferior and posterior to the left thyroid lobe there are two round extrathyroidal hypoechogenic foci, the superior one measuring measuring 1.3 cm x 0.8 cm x 1.1 cm at the inferior foci measuring 1.0 cm x 0.9 cm x 0.6 cm.
1.The thyroid gland demonstrates a heterogeneous reticular pattern compatible with chronic thyroiditis. No dominant nodules or suspicious adenopathy are identified.2.Inferior/posterior to the left thyroid lobe, two extrathyroidal hypoechogenic foci are seen which may represent parathyroid adenomas or possibly reactive lymph nodes. Correlate with calcium and PTH levels. 