72 year old female with history of thyroid nodule. RIGHT LOBE MEASUREMENTS: 4.7 x 1.7 x 1.3 cmLEFT LOBE MEASUREMENTS: 5 x 1.9 x 1.7 cm ISTHMUS MEASUREMENTS: 2 mmRIGHT LOBE: There are several well-defined cystic and spongiform subcentimeter nodules. The largest measures 9 mm and is predominantly cystic. No specific suspicious sonographic features.LEFT LOBE: There are several well-defined cystic and spongiform nodules. The largest is a spongiform nodule with comet tail artifact reflecting colloid, measuring 1.3 cm.ISTHMUS: There is a 2.3 x 2.0 x 1.8 cm solid nodule extending from the inferior aspect of the isthmus without hypervascularity or microcalcifications. It is well defined and heterogeneous.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. 2.3 cm indeterminate solid inferior isthmus nodule. Given its size and hypermetabolism on PET an FNA should be considered.2. Multiple additional bilateral cystic and spongiform nodules.