Female 72 years old Reason: Change in abnormal node History: Thyroid cancer MEASUREMENTS: Patient is status post thyroidectomy.RIGHT RESECTION BED: In the mid right thyroid bed there is a small hypoechoic nodule with internal hyperechogenicity measuring 0.3 x 0.4 x 0.3 cm, possibly representing a small lymph node. In the superior right thyroid bed there is a another small hypoechoic nodule measuring 0.4 x 0.3 x 0.3 cm.LEFT RESECTION LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: The previously noted left level 3 lymph node is not definitely identified on this exam. However, there is a left level 4 lymph node with punctate internal hyperechogenic foci which may represent calcifications. This lymph node measures 0.8 x 0.5 x 0.3 cm. OTHER: No significant abnormality noted.
Left level 4 lymph node with suspicious features. There are also 2 new subcentimeter hypoechoic nodules in the right thyroidectomy bed; recurrent disease cannot be excluded.