Squamous cell carcinoma of the lung with possible left cervical adenopathy PARATHYROID GLANDS: 0.8 x 0.4 cm hypoechoic focus projecting posterior to the mid right thyroid gland. It is unclear whether not this represents a benign intrathyroid nodule or is extrathyroidal.LYMPH NODES: Abnormal appearing enlarged left level 4 lymph node measuring 1.6 x 2.4 x 1.9 cm.OTHER: No significant abnormality noted.
Abnormal appearing enlarged left level 4 cervical lymph node. Worrisome for metastatic adenopathy. This lymph node is amenable to US guided percutaneous biopsy.Hypoechoic focus projecting posterior to the mid right thyroid gland. While this may represent a benign appearing intrathyroidal nodule, a parathyroid adenoma cannot be excluded. Would recommend correlation with calcium and PTH.