62 years old, Female, Reason: pt with known secondary hyperparathyroidism and thyroid nodule, pls identify any thyroid nodules and possible parathyroid adenomas History: secondary hyperparathyroidism, thyroid nodule RIGHT LOBE MEASUREMENTS: 7.8 x 3.7 x 2.9 cmLEFT LOBE MEASUREMENTS: 5.3 x 2.6 x 2.1 cmISTHMUS MEASUREMENTS: 1.3 cmRIGHT LOBE: In the right lobe of the thyroid there is a very large heterogeneous appearing nodule measuring 3.9 x 2.5 x 3.4 cm which is amenable to biopsy. Biopsy will be performed. Additional subcentimeter benign-appearing colloid cysts are also present.LEFT LOBE: Multiple subcentimeter colloid nodules on the left which are favored to have a benign etiology.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: There is an extra thyroidal hypoechoic focus inferior to the left thyroid lobe likely representing the known parathyroid hyperplasia or parathyroid adenoma.
1.Large heterogeneous right thyroid nodule amenable to biopsy, which will be performed today.2.Hypoechoic focus inferior to the left thyroid lobe likely secondary to known parathyroid hyperplasia or parathyroid adenoma3.Multiple bilateral subcentimeter benign-appearing colloid cysts.