25-year-old female presents with enlargement of her left neck and exophthalmos. Evaluate thyroid. RIGHT LOBE MEASUREMENTS: 5.6 x 1.6 x 1.4 cm.LEFT LOBE MEASUREMENTS: 5.9 x 2.8 x 2.4 cm.ISTHMUS MEASUREMENTS: 0.4 cm.RIGHT LOBE: Unremarkable echotexture without nodule.LEFT LOBE: There is an approximately 4.1 x 2.2 x 1.9 cm well-defined complex nodule in the mid left lobe of the thyroid. It has a mixed echotexture and is predominantly solid.ISTHMUS: Unremarkable echotexture without nodule.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Dominant complex left thyroid nodule amenable to biopsy if FNA is desired clinically.