64-year-old female with a history of a multinodular thyroid presents for follow-up. RIGHT LOBE MEASUREMENTS: 4.0 x 1.2 x 1.6 cm.LEFT LOBE MEASUREMENTS: 4.5 x 1.8 x 1.4 cm.ISTHMUS MEASUREMENTS: Difficult to obtain accurate measurement.RIGHT LOBE: There are multiple nodules as described below.Nodule 1: Measures approximately 0.5 x 0.4 x 0.4 cm in the right inferior gland. Next heterogenous echotexture. No microcalcifications.Nodule 2: Measures approximately 0.7 x 0.5 x 0.8 m in the right inferior thyroid. Mixed echogenicity without microcalcifications or internal vascularity.LEFT LOBE: Nodule in the superior left thyroid measures probably 1.8 x 1.2 x 1.1 cm. Mixed echogenicity with both appear to be solid and cystic components. There are microcalcifications and there is peripheral vascularity.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: There is calcification within the lumen of the right carotid artery.
1. Multinodular thyroid as described above.2. Nodule in the left superior lobe of the thyroid amenable to biopsy.3. Calcification within the lumen of the right carotid likely reflect atherosclerotic disease.