Multinodular goiter and hyperparathyroidism RIGHT LOBE MEASUREMENTS: 6.3 x 1.7 x 2 cmLEFT LOBE MEASUREMENTS: 4.5 x 2.2 x 1.5 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Diffusely heterogeneous gland without dominant nodule.LEFT LOBE: Diffusely heterogeneous gland. 1.1 x 0.8 x 1 cm lower pole predominant solid nodule.ISTHMUS: Diffusely heterogeneous gland.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Diffusely heterogeneous gland raises the possibility of chronic thyroiditis. Dominant solid lower pole left thyroid nodule. By patient history, this nodule was biopsied at an outside hospital. Would recommend comparison with prior pathology; if this is not available, would recommend ultrasound-guided biopsy of this nodule prior to surgery.No parathyroid adenoma candidate could be visualized. No regional adenopathy.