65-year-old male with PET positive low, midline nodule in the neck on PET. Metastatic renal cell carcinoma to pancreas. RIGHT LOBE MEASUREMENTS: 4.3 x 1.7 x 1.6 cmLEFT LOBE MEASUREMENTS: 4.8 x 1.5 x 1.8 cm.ISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: In the upper pole of the right lobe of the thyroid there is a 0.3 x 0.4 x 0.5 nodule which is likely complex cystic.LEFT LOBE: Inseparable from the lower pole of the left lobe is a 1.5 x 1.1 x 1.7 cm rounded, vague and hypoechoic but mildly heterogeneous mass. This may be exophytic, arising from the lower pole or even potentially extra thyroidal. Two small cystic nodules are present within the left lobe as well.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Prominent, morphologically normal level 3 lymph node on the right measuring 0.8 x 1.6 x 1.5 cm.OTHER: At midline in the suprasternal region there is a hypoechoic mass with some central increased echogenicity. This measures 1.5 x 1.9 cm corresponding to the PET positive abnormality. This appears separate from thyroid.
PET positive abnormality corresponds to a suprasternal, solid mass.Vague, hypoechoic mass lower pole left lobe of the thyroid.