75 year old female with incidental thyroid nodule noted on MRI neck. RIGHT LOBE MEASUREMENTS: 1.5 cm x 1.2 cm x 2.9 cm.LEFT LOBE MEASUREMENTS: 1.2 cm x 1.6 cm x 2.8 cm.ISTHMUS MEASUREMENTS: 3 mm in thicknessRIGHT LOBE: Heterogeneous echotexture. Multiple subcentimeter nodules are noted, the largest of which is hypoechoic and measures 6 mm x 4 mm x 5 mm. LEFT LOBE: Multiple subcentimeter nodules are noted, the largest of which measures 7 mm x 7 mm x 8 mm and is cystic in appearance. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Multiple bilateral lymph nodes are noted in the neck, the majority of which appear benign with a prominent fatty hilum. However, prominent left neck level 3 lymph node measures 1.3 cm x 0.5 cm x 0.8 cm is noted with suggestion of a fatty hilum. OTHER: No significant abnormality noted.
1. Prominent left neck level 3 lymph node with suggestion of a fatty hilum. While presence of fatty hilum suggests benignity and node may merely be reactive in etiology, the node is prominent and has an abnormal rounded configuration, correlation with patient's clinical history and follow up is recommended to exclude a neoplastic process. 2. Heterogeneous thyroid gland with bilateral subcentimeter nodule, largest on the left lobe which is predominantly cystic and likely represents a benign colloid nodule. 