44-year-old female patient with history of multinodular goiter. Ultrasound in 2014 revealed a 3.0 x 3.4 x 4.0 cm right nodule and a 1.2 x 1.5 x 1.7 cm left-sided nodule. Now with subjective growth on the right. RIGHT LOBE MEASUREMENTS: 6.6 x 4.5 x 3.0 cm.LEFT LOBE MEASUREMENTS: 4.8 x 1.6 x 1.5 cm.ISTHMUS MEASUREMENTS: 3 mm in thickness.RIGHT LOBE: The right thyroid lobe is predominantly replaced by a 4.9 x 2.2 x 3.9 heterogeneous, mostly solid nodule with a few cystic spaces. This nodule has a hypoechoic rim.LEFT LOBE: There is a 1.4 x 0.9 x 1.1 cm heterogeneous, hypoechoic, solid nodule within the left lower pole which does not have significant internal vascularity on color Doppler imaging.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: A benign morphology left level two lymph node is noted.OTHER: No significant abnormality noted.
Dominant bilateral thyroid nodules without definite suspicious features; these are amenable to biopsy if clinically indicated.