Male 65 years old Reason: Is there metastatic papillary thyroid carcinoma to the cervical lymph nodes bilaterally History: Papillary thyroid carcinoma LYMPH NODES: Patient has known, previously biopsied papillary thyroid carcinoma in the left thyroid lobe. Multiple small, benign-appearing lymph nodes are again seen. These lymph nodes are all subcentimeter with normal fatty hila. Based on small size and benign appearance of lymph nodes, biopsy of these lymph nodes is felt to be unnecessary. Discussed with patient and ordering physician.Incidental note is made of a tardus parvus waveform in the right common carotid.OTHER: No significant abnormality noted.
1.Multiple small benign-appearing lymph nodes, all of which are subcentimeter in short axis. Discussed with patient and Dr. Grogan.2.Tardus parvus waveform in the right common carotid. Recommend dedicated carotid duplex.