Nontoxic multinodular goiter, history of Hashimoto's RIGHT LOBE MEASUREMENTS: 5.2 x 2 x 2.4 cm, mostly unchanged from prior study, heterogenousLEFT LOBE MEASUREMENTS: 5 x 1.8 x 2 cm, mostly unchanged from prior study, heterogenousISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: Heterogenous right lobe nodule predominantly involving the mid portion measures 2.2 x 1.7 x 1.5 cm, unchanged from prior study when it measured 2 x 1.5 x 2.2 cm.LEFT LOBE: Heterogenous left thyroid gland with a small hypoechoic nodule which was not seen on prior study measuring 0.5 x 0.4 x 0.6 cm.ISTHMUS: Heterogenous nodule in the isthmus measures 1.2 x 0.4 x 1.2 cm, mostly unchanged from prior study when it measured 1.1 x 0.4 x 0.8 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Level 1 and level 3 lymph nodes identified in the right lateral aspect of the neck, largest measuring 1 x 0.5 x 1.7 cm, with normal morphology. In the left neck, level 3 lymph node measures 1.4 x 0.3 x 1.3 cm which demonstrates normal morphology.OTHER: No significant abnormality noted.
1. Heterogenous echotexture of the thyroid gland consistent with known history of Hashimoto's thyroiditis2. Stable right thyroid nodule. A small new subcentimeter left thyroid nodule noted. Follow-up ultrasound can be performed to confirm stability.3. Normal morphology bilateral level 2 and 3 neck lymph nodes noted