Female 63 years old; Reason: pt had L lobe enlargement back in 2008, reassess thyroid gland History: hypothryoidism RIGHT LOBE MEASUREMENTS: 4.7 x 1.6 x 1.4 cm.LEFT LOBE MEASUREMENTS: 4.0 x 1.6 x 1.8 cm.ISTHMUS MEASUREMENT: 0.2 cm.RIGHT LOBE: The right lobe is diffusely heterogenous. There are numerous cystic spaces. The thyroid appears hypervascular. No masses.LEFT LOBE: The parenchyma of the left lobe also appears diffusely heterogenous and hypervascular. There is an approximately 2.4 x 1.2 x 1.4 cm hypoechoic nodule. It has a heterogenous echotexture. There are foci of ringdown artifact suggestive of colloid. ISTHMUS: No significant abnormality noted.LYMPH NODES: There are several lymph nodes in levels III, IV, and V of the left neck, the largest of which measures 1.2 x 0.8 x 1.6 cm.OTHER: No significant abnormality noted.
1.Thyroid nodule as described above. Although we favor a benign etiology (colloid), given the asymmetric adenopathy consider biopsy.