History of papillary thyroid carcinoma. Status post thyroidectomy at outside institution. There was metastatic disease in 2/2 perithyroid lymph nodes. The tumor was multifocal with the dominant tumor being in the left lobe. There was lymphovascular invasion to 4 vessels. This was followed, in 8/5/2013, by RAI ablative therapy. She received 100 mcI of I-131. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT THYROIDECTOMY BED: Mild interval increase in tissue in the right inferior thyroidectomy bed measuring approximately 1.1 x 0.9 x 0.6 cm compared to 0.7 x 0.6 x 0.4 cm.LEFT THYROIDECTOMY BED: No evidence of recurrent or residual disease in the left thyroidectomy bed.ISTHMUS: No evidence of recurrent or residual disease.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Right level 3 hypoechoic lymph node measuring 0.7 x 0.4 x 1.2 cm not noted on the prior study but present on the 3/19/2014 study where it measured 0.5 x 0.8 x 1.8 cm.Superior to the left thyroidectomy bed at level 2 there is a 0.6 x 0.6 x 0.8 hypoechoic lymph node without a definite fatty hilum.Left lateral level 3 hypoechoic lymph node measuring 0.5 x 0.4 x 0.7 cm without a definite fatty hilum.OTHER: No significant abnormality noted.
Right level 3 and left level 2 and 3 hypoechoic lymph nodes without a definite fatty hilum. The left level 2 and 3 lymph nodes were not noted on the prior study and may be new. At least short interval 3-4 month follow-up to assess stability is recommended. Alternatively these may be sampled if clinically warranted. Mild interval increase in the tissue in the right inferior thyroidectomy bed without specific suspicious sonographic features.