63-year-old male with history of thyroid cancer status post thyroidectomy. Follow-up examination. RIGHT LOBE MEASUREMENTS: Surgically absentLEFT LOBE MEASUREMENTS: Surgically absentISTHMUS MEASUREMENTS: Surgically absentRIGHT LOBE: No significant abnormality noted.LEFT LOBE: 2 mm cystic focus in the superior left thyroid bed is unchanged since the prior study. No new abnormalities are identified in the thyroid bed.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: A mildly prominent 10 x 8 x 4 mm lymph node is identified in the left neck level five station. This lymph node demonstrates a normal fatty hilum but questionable abnormal cortical thickening and increased echogenicity.OTHER: No significant abnormality noted.
1.Postsurgical changes of thyroidectomy with unchanged small cystic focus in the left thyroid bed.2.Questionably abnormal small lymph node in the left level five station was not previously identified. This lesion raises suspicion of a new nodal metastasis.