Female 85 years old Reason: Evaluate for thyroid nodules and left inferior parathyroid adenoma prior to parathyroidectomy. Sestamibi localized to left inferior pole of thyroid. RIGHT LOBE MEASUREMENTS: 4.5 x 1.6 x 1.2 cmLEFT LOBE MEASUREMENTS: 4.8 x 1.3 x 1.4 cm.ISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Mildly heterogeneous background right thyroid lobe. A small hypoechoic nodule in the inferior right thyroid lobe measures 0.7 x 0.6 x 0.5 cm, with a nonspecific appearance.LEFT LOBE: Left thyroid lobe has a heterogeneous background. Small heterogeneous nodule in the inferior left thyroid lobe measures 0.9 x 0.7 x 0.9 cm. No hypoechoic extrathyroid nodule is identified to indicate a parathyroid adenoma.ISTHMUS: Isthmus has a heterogeneous appearance.PARATHYROID GLANDS: No parathyroid adenomas identified on this exam.LYMPH NODES: No suspicious lymphadenopathy.OTHER: No significant abnormality noted.
Heterogeneous background thyroid with subcentimeter nonspecific nodules bilaterally. No hypoechoic extrathyroid nodule is identified to suggest a parathyroid adenoma.