Female 46 years old; Reason: Diffuse goiter, check for nodules History: goiter RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 1.5 x 1.9 x 6.1 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 5.9 x 3.7 x 8.9 cm.ISTHMUS MEASUREMENT: The isthmus measures 0.4 cm.RIGHT LOBE: Right lobe is heterogeneous with a predominantly solid nodule with cystic components measuring 2.4 cm x 1.3 cm x 1.7 cm in the mid/lower pole. There are punctate echogenic foci seen but no discrete calcifications.LEFT LOBE: The left lobe is predominantly a conglomerate of solid and highly complex cystic/spongiform nodules. The largest measures 3.3 cm x 2.4 cm x 3.6 cm and the cystic portion has complex internal echogenicity. There are several other smaller hyperechoic cyst in the left lobe.ISTHMUS: No significant abnormality noted.LYMPH NODES: No suspicious adenopathy noted.
1.Multinodular goiter with no suspicious regional adenopathy identified.2.The left lobe is primarily a conglomerate of solid and highly complex cystic/spongiform nodules. A component of this may represent a hemorrhagic cyst.3.In the right lobe there is a predominantly solid nodule with cystic components which is amenable to percutaneous biopsy.