57-year-old female patient with right substernal goiter. Assess for thyroid nodules in both lobes. RIGHT LOBE MEASUREMENTS: 9.0 x 3.2 x 3.0 cm.LEFT LOBE MEASUREMENTS: 4.0 x 1.6 x 2.0 cmISTHMUS MEASUREMENTS: 2 mm in thickness.RIGHT LOBE: The right thyroid lobe contains a 3.5 x 3.2 x 6.1 cm complex, hypoechoic nodule with internal coarse echogenic foci.LEFT LOBE: The left thyroid lobe is heterogeneous in echogenicity with a more nodular focus of heterogeneity within the inferior pole measuring 1.7 x 1.1 x 1.3 cm. Additional, subcentimeter nodules are also noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Dominant bilateral thyroid nodules; these were subsequently biopsied per service request. 