Male 89 years old Reason: eval multinodular goiter History: multinodular goiter seen on CT chest RIGHT LOBE MEASUREMENTS: 6.3 x 1.9 x 1.5 cmLEFT LOBE MEASUREMENTS: 5.7 x 4.3 x 3.6 cmISTHMUS MEASUREMENTS: 0.8 cmRIGHT LOBE: 2 nodules are present in the right thyroid lobe. In the superior right thyroid lobe there is a 1.6 x 0.8 x 0.4 cm nodule which is mildly hypoechoic compared to background thyroid parenchyma. The inferior portion of the right thyroid lobe there is a hypoechoic nodule measuring 0.7 x 0.7 x 0.9 cm.LEFT LOBE: The left thyroid lobe extends inferiorly to the substernal area, which is unable to visualize by ultrasound. Total size of this left thyroid lobe is better evaluated by recent CT. Part solid, part cystic left thyroid nodule measures approximately 5.1 x 4.2 x 3.9 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multinodular goiter with a large left thyroid lobe extending posterior to the sternum and incompletely visualized on this exam.