Female 64 years old; Reason: previous history of nodules, please re-evaluate History: thyroid nodules RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 3.0 x 2.2 x 7.3 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 2.4 x 1.7 x 5.4 cm.ISTHMUS MEASUREMENT: The isthmus measures 0.6 cm.RIGHT LOBE: The right lobe appears enlarged and heterogeneous. At the inferior portion of the right lobe there is a heterogeneous dominant nodule redemonstrated from prior ultrasound, measuring 4.1 cm x 2.6 cm x 3.6 cm. This previously measured 4.1 cm x 2.6 cm x 3.2 cm. No internal microcalcifications are seen and minimal internal vascularity.LEFT LOBE: The left lobe is enlarged and heterogeneous. At the inferior portion of the left lobe there is a heterogeneous iso to hyperechoic nodule measuring 2.4 cm x 1.9 cm x 1.3 cm. This previously measured 2.7 cm x 1.5 cm x 1.6 cm. There is coarse calcification redemonstrated from prior ultrasound.ISTHMUS: A mixed cystic and solid nodule is reidentified within the isthmus. This measures 2.4 cm x 1.2 cm x 2.4 cm and was previously measured 2.5 cm x 1.0 cm x 2.4 cm.LYMPH NODES: No suspicious adenopathy noted.
1. Multinodular goiter, the dominant nodule in the inferior right lobe and isthmus that appears stable from prior ultrasound. No suspicious adenopathy is identified.2. The dominant nodule in the inferior left lobe has coarse calcification which was seen previously. This nodule is amenable to biopsy, however it does appear stable in size from prior ultrasound.