57 year-old female with goiter on Synthroid for suppression RIGHT LOBE MEASUREMENTS: 3.3 cm x 1.5 cm x 2.3 cmLEFT LOBE MEASUREMENTS: 4.3 cm x 1.5 cm x 1.5 cmISTHMUS MEASUREMENTS: 5 mm in thickness.RIGHT LOBE: Heterogeneous echotexture. Solid nodule again seen at the inferior pole measuring 1.7 cm x 1.3 cm x 1.1 cm, previously 0.9 cm x 1.1 cm x 1.2 cm.LEFT LOBE: Heterogeneous in echotexture with no discrete nodules identified.ISTHMUS: Nodule along the right side of the isthmus is again seen measuring 2.2 cm x 2.0 cm x 0.9 cm, previously measured 2.2 cm x 2.2 cm x 1.5 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: In the right submandibular region corresponding to the patient's palpable lump is a lymph node with normal fatty hilum measuring 2.0 cm x 0.8 cm x 1.4-cm.OTHER: No significant abnormality noted.
Heterogeneous thyroid gland with solid nodules as described above unchanged. Benign appearing lymph node in the right mandibular region corresponding to the patient's palpable lump.