82-year-old male with hyperparathyroidism. RIGHT LOBE MEASUREMENTS: 4.2 cm x 2.0 cm x 2.2 cmLEFT LOBE MEASUREMENTS: 4.1 cm x 1.6 cm x 1.5 cmISTHMUS MEASUREMENTS: 5 mm in thicknessRIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Ovoid hypoechoic nodule inferior to the left thyroid lobe is seen measuring 8 mm x 5 mm. This is more heterogeneous than is typical for a parathyroid adenoma, but does not have the appearance of a normal lymph node.LYMPH NODES: Right neck level 2 benign-appearing lymph node measures 1.3 cm x 0.6 cm x 0.2 cm. No pathologic lymphadenopathy.OTHER: No significant abnormality noted.
Hypoechoic nodule inferior to the left thyroid lobe appears to correspond to the focus of increased activity seen on prior parathyroid SPECT CT scan on 10/31/2013 which was noted to be a parathyroid adenoma.