45-year-old female with history of thyroidectomy for papillary carcinoma. Palpable tissue left bed. RIGHT LOBE MEASUREMENTS: Post thyroidectomyLEFT LOBE MEASUREMENTS: Post thyroidectomyISTHMUS MEASUREMENTS: Post thyroidectomyRIGHT LOBE: In the right thyroid bed there is a somewhat rounded, echogenic focus measuring approximately 0.3 x 0.4 x 0.4 cm.LEFT LOBE: No mass seen in the left bed.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: On the right, there are post enlarged nodes without calcification and nodes with suspicious calcification.Level 2 node measuring 1.1 x 2 x 2.5 cm without hilum. Level 3 node with shadowing calcification measuring 0.7 x 0.9 x 1.2 cm level 4 node with calcification measuring 0.6 x 0.6 x 0.9 cm.On the left, morphologically normal lymph nodes are identified. There is one larger but morphologically normal lymph node at level 2 measuring 1.4 x 1.6 x 3 cm which may represent the palpable abnormality.OTHER: No significant abnormality noted.
1. Rounded, echogenic material in the right thyroid bed. No calcification.2. Malignant lymph nodes right neck.3. Morphologically normal lymph nodes on the left.