Reason: enlarged thyroid History: enlarged thyroid RIGHT LOBE MEASUREMENTS: 9.8 x 5.5 x 4.2 cm, previously 9.7 x 5.0 x 2.8 cmLEFT LOBE MEASUREMENTS: 10.3 x 4.5 x 4.2 cm, previously 9.3 x 4.8 x 2.5 cmISTHMUS MEASUREMENTS: 1.8 cm in the AP dimension, previously 1.6 cmRIGHT LOBE: Markedly enlarged right thyroid lobe with extensive heterogeneity and nodularity.Dominant predominantly solid reference nodule in the right lower pole measures approximately 3.2 x 2.3 x 2.8 cm, previously 3.2 x 3.2 x 2.2 cm, however the margins are indistinct and difficult to measure.LEFT LOBE: Markedly enlarged left thyroid lobe with extensive heterogeneity and nodularity. No distinct reference nodules are identified, similar to prior exam.ISTHMUS: Heterogeneous and enlarged gland without interval change.PARATHYROID GLANDS: Not visualized.LYMPH NODES: No significant abnormality noted. No cervical lymphadenopathy.OTHER: No significant abnormality noted.
Stable thyromegaly and multinodular goiter without significant interval change.