34-year-old male with a history of Cowden syndrome presents with an enlarge thyroid. Evaluate thyroid. RIGHT LOBE MEASUREMENTS: 3.6 x 2.7 x 0.6 cm.LEFT LOBE MEASUREMENTS: 3.8 x 2.6 x 7.8 mm.ISTHMUS MEASUREMENTS: 0.9 cm.RIGHT LOBE: There are multiple solid nodules that have replaced much of the right thyroid parenchyma, the largest of which measures approximately 1.3 x 1.2 cm.LEFT LOBE: There are multiple solid nodules that have replaced much of the left thyroid parenchyma, the largest of which measures approximately 2.0 x 1.8 x 1.9 cm.ISTHMUS: There is a dominant solid nodule in the isthmus measuring approximately 2.2 x 1.8 x 2.9 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No regional adenopathy.OTHER: No significant abnormality noted.
1. Multinodular gland as described above with many solid lesions amenable to biopsy. No regional adenopathy.