47-year-old female with end-stage renal disease, secondary hyperparathyroidism. RIGHT LOBE MEASUREMENTS: 4.4 x 2.6 x 2.0 cmLEFT LOBE MEASUREMENTS: 4.0 x 1.9 x 1.7 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Two solid hypoechoic nodules in the right thyroid lobe, the larger more superior nodule measuring 0.7 x 0.5 x 0.8 cm, and the smaller more inferior one measuring 0.5 x 0.4 x 0.4 cm with peripheral calcification.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: Hypoechoic peripherally hyperechoic lesion posterior to the inferior right thyroid measures 0.8 x 0.7 x 0.8 cm. Hypoechoic complex lesion posterior to the inferior left thyroid measures 1.7 x 1.5 x 1.3 cm.
1. Hypoechoic lesions posterior to both inferior thyroid lobes are favored to represent parathyroid hyperplasia given multiplicity and the patient's clinical history. Correlate with results of same day nuclear medicine scan for further characterization. 2. Two small right thyroid nodules as detailed above. 