50-year-old female with multinodular goiter. Evaluate for stability. RIGHT LOBE MEASUREMENTS: 6.2 x 2.4 x 2.2 cmLEFT LOBE MEASUREMENTS: 6.2 x 2.9 x 2.1 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Multiple nodules again identified. The majority of these nodules have a spongiform or cystic appearance consistent with colloid. Selected for measurement are a nodule in the midportion of the right lobe measuring 0.7 x 1.2 x 1.1 cm, unchanged from the prior study. On the prior exam this had a classic spongiform appearance and on today's study has some increased peripheral soft tissue which may be due to interval hemorrhage. Poorly defined, predominantly solid area of nodularity in the inferior right lobe is incompletely visualized due to substernal extension, but appears smaller, measuring approximately 1.3 x 1.6 x 2.3 cm. Other areas are unchangedLEFT LOBE: Colloid nodule in the upper pole is stable in size and appearance. Larger nodule in the mid upper pole measures 1.5 x 2.6 x 2.7 cm, slightly increased in the interim. This appears somewhat less spongiform than on the prior study with larger internal cystic components. Again, this may be due to interval hemorrhage. Predominantly solid nodule in the medial, midportion of the left lobe measures 1.4 x 1.5 x 2 cm, increased in size in the interim. Inferior, poorly defined nodule which is predominantly solid with a cystic component measures 1 x 1.3 x 1.6 cm without significant change. This is incompletely visualized, extending into a substernal location. Other areas are unchanged.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multinodular goiter there is been an increase in a predominant solid nodule in the medial, midportion of the left lobe. Other nodules are stable although with some change in appearance which may be due to interval hemorrhage.