Female 37 years old Reason: Localization of parathyroid glands for patient with secondary hyperparathyroidism, assess for thyroid nodules History: Secondary hyperparathyroidism RIGHT LOBE MEASUREMENTS: 5.2 x 2.0 x 1.5 cm.LEFT LOBE MEASUREMENTS: 4.4 x 1.9 x 1.5 cm.ISTHMUS MEASUREMENTS: 0.3 cm.RIGHT LOBE: Normal echogenicity of the right thyroid lobe without nodules.LEFT LOBE: Normal echogenicity of the left thyroid lobe without nodules.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Inferior and separate to the left thyroid lobe is a hypoechoic focus measuring 0.7 x 0.3 x 0.5 cm, which may represent a parathyroid gland or small adenoma.LYMPH NODES: No significant abnormality noted. No regional lymphadenopathy.OTHER: No significant abnormality noted.
Inferior to the left thyroid lobe is a hypoechoic nodule likely representing a hyperplastic parathyroid gland or small parathyroid adenoma. Please see same day nuclear medicine study for additional findings.