66-year-old female with a history of thyroid cancer. She status post total thyroidectomy. RIGHT LOBE, LEFT LOBE, ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: Status post thyroidectomy.LEFT LOBE: Status post thyroidectomy. There is an approximately 1.8 x 1.2 x 0.7 cm round hypoechoic soft tissue nodule in the area of the left thyroid bed.ISTHMUS: Status post thyroidectomy.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No adenopathy noted.OTHER: Extensive coronary artery plaque incompletely evaluated.
Postsurgical changes with hypoechoic nodule in the left thyroid bed. Since no prior is available for comparison differential considerations include postsurgical change versus recurrent disease. This can be managed with close interval ultrasound follow up (3 to 6 months) or if high degree of clinical suspicion exists, fine-needle aspiration.Carotid artery plaque.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.