 RIGHT LOBE MEASUREMENTS: 4 x 1.2 x 2.1 cmLEFT LOBE MEASUREMENTS: 4.7 x 1.5 x 2.2 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Multiple nodules identified. In the extreme upper pole there is a 0.6 x 0.7 x 1.0 cm nodule. This was clearly spongiform in the prior study although the cystic spaces are somewhat less well-visualized on today's exam. Overall this is changed little in size. Large complex cystic nodule with thick septation and slight wall irregularity measures 0.7 x 1.1 x 1.6 cm, without change. There are several, small colloid nodules with comet tail artifact. LEFT LOBE: Multiple nodules identified. In the midportion of the left lobe there is a predominantly solid nodule with some spongiform characteristic. This measures 0.7 x 1.6 x 1.6 cm without change. There is a second, inferior spongiform nodule measuring 1.3 x 1.7 x 1.6 cm also unchanged. There is some coarse calcification associated with the rim of this nodule, but there is also clear comet tail artifact. Smaller colloid nodules are identified as well as.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: The patient complained of an enlarging nodular density slightly to the right at the base the neck. Scanning demonstrates this to be an asymmetric clavicular head. There is, however, suggestion of a rounded nodular density more caudally and at midline which cannot be adequately visualized. If further information is needed, recommend CT of the neck.OTHER: No significant abnormality noted.
Bilateral thyroid nodules which are mixed cystic and solid, are similar in size to prior study, most low suspicion. However, a single right superior thyroid nodule previously spongiform, now appears more solid.See above discussion of rounded nodular density in the substernal region.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.