Reason: goiter History: fatigue RIGHT LOBE MEASUREMENTS: 6.0 x 2.0 x 2.0 cmLEFT LOBE MEASUREMENTS: 7.4 x 2.3 x 2.5 cmISTHMUS MEASUREMENTS: 2.13 cm.RIGHT LOBE: Parenchyma echotexture is mildly heterogeneous but no dominant nodule.LEFT LOBE: There is a heterogeneous nodule in the left mid and lower poles with mild internal vascularity and a cystic foci, overall measuring 5.2 x 2.1 x 2.9 cm.ISTHMUS: There is a large nodule within the isthmus extending to the left lower pole which is isoechoic with minimal vascularity and no calcifications measuring 3.9 x 2.1 x 2.8 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Two large indeterminate thyroid nodules in the isthmus and left lower poleI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.