Female 88 years old; Reason: assess interval change in size or character of thyroid nodule History: none. Hx of dominant large 4.2 x 3.3 cm heterogeneous nodule in R thyroid. FNA in 2004 colloid nodule, with no subsequent records or follow up imaging. RIGHT LOBE MEASUREMENTS: 5.4 x 2.0 x 2.6 cmLEFT LOBE MEASUREMENTS: 5.6 x 1.6 x 2.1 cmISTHMUS MEASUREMENT: 0.4 cmRIGHT LOBE: In the inferior pole of the right lobe is a 3.3 x 3.1 x 2.1-cm heterogeneous nodule with shadowing dystrophic calcification.LEFT LOBE: The gland is heterogeneous. In the mid aspect of the left lobe is a 2.5 x 1.8 x 1.8 cm solid, heterogeneous, but predominantly isoechoic, nodule with punctate hyperechoic foci.ISTHMUS: Small anechoic structure in the left aspect of Isthmus measures 0.4 x 0.3 x 0.5 cm.LYMPH NODES: 1.1 x 0.6 x 0.4 cm right level 2 lymph node with a fatty hilum.OTHER: No significant abnormality noted.
Bilateral thyroid nodules are amenable to percutaneous biopsy if clinically indicated.