76 year old male with metastatic thyroid cancer. Evaluate for lymph nodes. RIGHT LOBE MEASUREMENTS: 4.5 cm x 1.9 cm x 1.7 cmLEFT LOBE MEASUREMENTS: 10.0 cm x 4.8 cm x 2.5 cm.ISTHMUS MEASUREMENTS: 3 mm in thicknessRIGHT LOBE: Hypoechoic subcentimeter nodule at the mid to lower pole measuring to up 6 mm. LEFT LOBE: Diffusely heterogeneous in echotexture. ISTHMUS: No significant abnormality noted.ILYMPH NODES: No suspicious lymphadenopathy. Right neck level 2 lymph node with fatty hilum measuring 2.0 cm x 0.5 cm 1.2 cm. Left neck level 2 lymph node with fatty hilum measuring 1.6 cm x 0.6 cm x 0.8 cm.
1. Diffusely heterogeneous left thyroid lobe likely reflecting patient's known primary thyroid malignancy. Additional hypoechoic subcentimeter nodule is seen in the right thyroid lobe. 2. Bilateral lymph nodes with fatty hila, may be reactive. 