Secondary hyperparathyroidism RIGHT LOBE MEASUREMENTS: 4.7 x 1.8 x 1.3 cmLEFT LOBE MEASUREMENTS: 4.1 x 2 x 1.2 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: 1.5 x 1.9 x 2.5 cm hypoechoic focus arising the superior aspect of the left thyroid gland; it is unclear whether not this lesion is separate from our arising from the left thyroid gland.1.4 x 0.9 x 0.8 cm hypoechoic extrathyroidal focus projecting inferior and posterior to the left thyroid gland.1.3 x 0.9 x 0.9 cm mixed echogenicity focus right level 4 which does not morphologically correspond to a normal lymph nodeLYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Hypoechoic extrathyroidal focus projecting inferior and posterior to the left thyroid gland suspicious for clinically suspected parathyroid hyperplasia/adenoma. Larger hypoechoic focus arising from the superior aspect of the left thyroid gland; it is unclear whether not this lesion arises from the left thyroid gland or is separate and extrathyroidal; a large parathyroid adenomas/hyperplasia cannot be excluded.An additional mixed echogenicity focus right level 4 which is not morphologic correspond to normal lymph node; a parathyroid adenoma focus cannot be excluded.No regional adenopathy.