Multinodular goiter RIGHT LOBE MEASUREMENTS: 5.6 x 4.1 x 6.2 cmLEFT LOBE MEASUREMENTS: 1.9 x 1.9 x 4.8 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Slight interval increase in size of large dominant mixed cystic and solid right thyroid nodule now measuring 5.4 x 3.8 x 4.9 cm. compared to 4.8 x 3.8 x 4.4 cm on 10/10/2014LEFT LOBE: No significant abnormality noted.ISTHMUS: Interval increase in size of right isthmus nodule now measuring 2.4 x 1.7 x 1.6 cm compared to 1.8 x 1.4 x 1.2 cm on 10/10/2014. This right isthmus nodule also demonstrates indistinct borders and internal calcifications.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: 2 abnormal right level 3 enlarged lymph nodes with effacement of fatty hilum. The largest measures 1.2 x 0.6 x 1.7 cm.OTHER: No significant abnormality noted.
Interval increase in size of right isthmic nodule demonstrating indistinct borders and internal calcifications. Would recommend ultrasound-guided percutaneous biopsy of this nodule.Abnormal right level 3 enlarged lymph nodes; would also recommend ultrasound guided percutaneous biopsy of these lymph nodes.Slight interval increase in size of dominant mixed cystic and solid right thyroid nodule; a benign etiology is still favored.