History of Hashimoto's thyroiditis. RIGHT LOBE MEASUREMENTS: 5.0 x 1.5 x 2.2 cmLEFT LOBE MEASUREMENTS: 4.8 x 1.7 x 1.9 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: The right thyroid lobe is diffusely heterogeneous in echotexture without a discrete dominant nodule. It is mildly hypervascular.LEFT LOBE: The left thyroid lobe is diffusely heterogeneous in echo texture without a discrete dominant nodule. An echogenic 5 x 2 x 5 mm nodule is noted without suspicious sonographic features. Note is made of a 7 x 4 x 5 mm hypoechoic nodule dorsal to the inferior aspect of the left thyroid lobe which may represent a small parathyroid adenoma or exophytic thyroid nodule.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Note is made of a 7 x 4 x 5 mm hypoechoic nodule dorsal to the inferior aspect of the left thyroid lobe which may represent a small parathyroid adenoma or exophytic thyroid nodule.LYMPH NODES: No pathologically enlarged or morphologically suspicious cervical lymph nodes.OTHER: No significant abnormality noted.
Diffusely heterogeneous thyroid gland without a discrete dominant nodule measuring greater than 1 cm, compatible with patient's history of Hashimoto's thyroiditis. Note is made of a 7 x 4 x 5 mm hypoechoic nodule dorsal to the inferior aspect of the left thyroid lobe which may represent a small parathyroid adenoma or exophytic thyroid nodule. Alternatively this may represent a small lymph node as there is a questionable fatty hilum on CINE imaging.