23 year-old female with a history of hypothyroidism. RIGHT LOBE MEASUREMENTS: 1.7 x 1.3 x 5 cmLEFT LOBE MEASUREMENTS: 1.7 x 1.3 x 4.9 cmISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: The thyroid lobe parenchyma is heterogeneous compatible with history of hypothyroidism. No discrete suspicious nodule is evident.LEFT LOBE: The left thyroid lobe parenchyma is heterogeneous in echotexture compatible with history of hypothyroidism. No discrete suspicious nodule is evident.ISTHMUS: Heterogeneous echotexture, without discrete suspicious nodule.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: There is a 5 x 5 x 6 mm hypoechoic nodule inferior to the left thyroid lobe, which may reflect a small lymph node or parathyroid adenoma.
Heterogeneous thyroid parenchyma compatible with history of hypothyroidism without a discrete suspicious nodule evident. 6-mm hypoechoic nodule inferior to the left thyroid lobe may reflect a small lymph node or parathyroid adenoma; correlate with PTH/calcium.