History of multinodular goiter by biopsy, patient states slowly enlarging RIGHT LOBE MEASUREMENTS: 7 x 3 x 2.8 cm, enlarged and heterogenousLEFT LOBE MEASUREMENTS: 0.9 x 1.1 x 2.1 cmISTHMUS MEASUREMENTS: 11 mmRIGHT LOBE: Multiple heterogenous nodules throughout the right perihilar gland, mostly in the mid to inferior pole. The largest nodule with few cystic changes measures 5 x 3.1 x 5.3 cm.LEFT LOBE: A small hypoechoic nodule identified in the midpole of the left lobe that measures 1 x 0.6 x 0.8 cm.ISTHMUS: A heterogenous nodule noted within the isthmus and measures 2.4 x 1.2 x 1.3 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No abnormal lymph nodes identified in the neckOTHER: No significant abnormality noted.
Heterogenous multiple thyroid nodules predominantly in the right lobe and the isthmus most likely multinodular goiter. Comparison with prior ultrasound is recommended to confirm stability.