Female 58 years old; Reason: Change in nodules History: Multinodular goiter RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 4.9 x 1.8 x 1.3 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 6.4 x 3.0 x 2.7 cm.ISTHMUS MEASUREMENT: The isthmus measures 0.5 cm.RIGHT LOBE: The right lobe is heterogeneous. There is a dominant nodule in the inferior portion of the right lobe. This appears hypoechoic and heterogeneous to the thyroid. No microcalcifications or internal vascularity are seen. This nodule measures 1.5 cm x 1.4 cm x 0.9 cm and is similar in appearance to prior ultrasound. LEFT LOBE: The left lobe is heterogeneous. A dominant nodule is identified in the inferior portion of the left lobe. This appears heterogeneous and iso to hyperechoic to the thyroid. No internal microcalcifications are seen. This nodule measures 3.6 cm x 2.4 cm x 2.4 cm and is similar in appearance to prior ultrasound.ISTHMUS: No significant abnormality noted.LYMPH NODES: No suspicious adenopathy noted.
Stable thyroid exam from prior ultrasound in 2014. Again noted is a right dominant complex nodule measuring 1.5 cm x 1.4 cm x 0.9 cm and left dominant complex nodule measuring 3.6 cm x 2.4 cm x 2.4 cm that are both stable in size and appearance. No suspicious adenopathy is visualized.