71 years old, Female, Reason: rule out progression in size of nodules - please comment on substernal extension - seen on 7/2012 US but not mentioned on 3/2013 US History: dysphagia RIGHT LOBE MEASUREMENTS: 5.0 x 2.3 x 1.7 centimetersLEFT LOBE MEASUREMENTS: 7.1 x 5.6 x 4.7 cm.ISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Stable right thyroid nodules which are spongiform in appearance and likely represent colloid nodules. The largest spongiform right thyroid nodule measures 1.1 x 0.6 x 0.8 cm, previously measuring 1.1 x 0.8 x 0.7 cm.LEFT LOBE: There are two left thyroid nodules. The more superior medial nodule is spongiform in appearance measuring 1.9 x 1.7 x 1.8 cm. Interval increase in size of dominant solid left thyroid nodule which measures 5.9 x 5.1 x 4 .5 cm, previously measuring 5.4 x 4.6 x 4.07 m. Retrosternal extension of the left thyroid lobe. ISTHMUS: There is a mixed solid-cystic nodule measuring 2.2 x 1.3 x 1.2 cm which is not significantly changed in size.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign-appearing right level 2 lymph node measures 1.5 x 1.3 x 0.5 cm. Left level 2 benign-appearing lymph node in measures 0.9 x 0.6 x 0.8 cm.OTHER: No significant abnormality noted.
1. Dominant solid left thyroid nodule has increased in size and is indeterminate on this examination.2. Stable spongiform thyroid nodules which are likely colloid nodules.3. Stable mixed solid cystic left thyroid nodule.