Female 32 years old Reason: r/o goiter. r/o nodules. r/o adenopathy History: Goiter. Had nodes on outside study RIGHT LOBE MEASUREMENTS: 4.7 x 1.6 x 1.5 cmLEFT LOBE MEASUREMENTS: 4.3 x 1.3 x 1.5 cmISTHMUS MEASUREMENTS: 6 mmRIGHT LOBE: Coarse echotexture of the thyroid suggestive of thyroiditis.LEFT LOBE: Coarse echotexture of the thyroid suggestive of thyroiditis.ISTHMUS: Thyroiditis.PARATHYROID GLANDS: There are multiple, well-defined, hypoechoic, bilateral lobar and round lesions inferior to the inferior aspect of the right lobe of the thyroid, suspicious for parathyroid adenomas/hyperplasia. Largest one is bilateral lobar and measures 1.4 x 0.6 cm.Similarly there are also well-defined, hypoechoic lesions inferior to the inferior aspect of the left thyroid lobe measuring 1.3 x 0.5 cm. These are also suspicious for parathyroid adenoma/hyperplasia.LYMPH NODES: Benign-appearing lymph nodes in the supraclavicular region on the left and in the neck bilaterally.OTHER: No significant abnormality noted.
Coarse echotexture of the thyroid suggestive of thyroiditis.Well-defined, round hypoechoic lesions inferior to the inferior aspect of the thyroid lobes. Etiology of these is uncertain but given the location and appearance-suspicious for parathyroid adenoma/hyperplasia. Clinical correlation and if necessary further evaluation with nuclear medicine scan is recommended.