55-year-old female patient with neck pressure, difficulty swallowing, known left thyroid nodule with significant family history. Evaluate for thyroid nodule size and location, and abnormal lymph nodes. RIGHT LOBE MEASUREMENTS: 4.2 x 1.9 x 1.7 cm.LEFT LOBE MEASUREMENTS: 3.5 x 1.4 x 1.4 cm.ISTHMUS MEASUREMENTS: 0.2 cm RIGHT LOBE: The right thyroid lobe is normal in echogenicity without focal lesion.LEFT LOBE: The left thyroid lobe is normal in echogenicity without focal lesion.ISTHMUS: There is a circumscribed, ovoid, hypoechoic lesion within the left lateral aspect of the isthmus measuring approximately 0.8 x 0.5 x 0.9 cm. This lesion has internal vascularity.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: There are two subcentimeter right level three and level four lymph nodes. Subcentimeter left level three and level four lymph nodes are present.OTHER: No significant abnormality noted.
Solid left lateral isthmus thyroid nodule.