Persistent primary hyperparathyroidism RIGHT LOBE MEASUREMENTS: 5 x 1.3 x 1.8 cmLEFT LOBE MEASUREMENTS: 5.1 x 0.7 x 1.7 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Stable subcentimeter mixed cystic and solid nodules. Reference inferior nodule measures 0.6 x 0.4 x 0.7 cm.LEFT LOBE: Stable subcentimeter mixed cystic and solid nodules. Reference midpole nodule measures 0.4 x 0.4 x 0.5 cm.ISTHMUS: Stable isthmic hypoechoic solid nodule measuring 1.1 x 0.4 x 0.9 cm.PARATHYROID GLANDS: 0.5 x 0.4 x 0.4 hypoechoic possibly extrathyroidal nodule projecting posterior to the midportion of the left thyroid gland.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Hypoechoic subcentimeter focus projecting posterior to the midportion of the left thyroid gland. While this may represent a peripheral intrathyroidal nodule, it may alternatively represent an extrathyroidal focus and potential parathyroid adenoma candidate. Would recommend correlation with nuclear medicine study performed later this day.Stable subcentimeter bilateral thyroid nodules. No regional adenopathy.