Goiter with growth, evaluate with thyroid ultrasound RIGHT LOBE MEASUREMENTS: 8 x 3.4 x 3.2 cm, heterogenous, mostly unchanged from prior exam when it measured 8.5 x 3.1 x 2.7 cmLEFT LOBE MEASUREMENTS: 10.1 x 4 x 5.6 cm, heterogenous and increased in size from prior examination when it measured 9.2 x 5.8 x 3.7 cm.ISTHMUS MEASUREMENTS: 2 cmRIGHT LOBE: 2 adjacent solid hypoechoic nodules identified in the right lobe, upper pole nodule measures 4.4 x 2.6 x 3 cm previously measured 3.5 x 3.2 x 2.2 cm. The lower/inferior pole nodule has infraclavicular extension and cannot be completely visualized by ultrasound, now measures 4.6 x 4 cm, previously measured 3.4 x 3.2 x 2.2 cmLEFT LOBE: At least 2 enlarged nodules identified in the left lobe, the upper to midpole nodule has multiple increased microcalcifications in the further evaluation with tissue sampling. It has increased from prior examination, currently measures 5.5 x 3.4 x 4.9 cm, previously measured 5.2 x 5.8 x 3.7 cm. The second solid nodule along the inferior pole measures 4.6 x 4 x 4.3 cm, previous measured 5 x 3.9 x 2.3 cm. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Normal morphology bilateral neck lymph nodes level 3 noted. Largest lymph node in the right lateral neck measures 2.3 x 0.3 x 1.2 cm.OTHER: No significant abnormality noted.
1. Multinodular goiter with interval increase in size and microcalcifications within the left upper pole nodule, consider tissue sampling.