81 year old female with a history of thyroid nodules on CT scan at an outside institution. RIGHT LOBE MEASUREMENTS: 5.3 x 1.5 x 2.0 cm.LEFT LOBE MEASUREMENTS: 4.0 by 0.9 x 1.1 cm.ISTHMUS MEASUREMENTS: 5 mmThe thyroid gland is enlarged and diffusely heterogenous, which can be seen in thyroiditis.RIGHT LOBE: There is a 1.8 x 0.7 x 0.9 cm irregular lobulated heterogeneous, but predominantly hypoechoic nodule in the mid body of the right lobe of the thyroid gland. There is no internal vascularity or definite calcification. Indeterminant.LEFT LOBE: The mid portion of the left lobe of the thyroid gland is diffusely heterogenous with subcentimeter hypoechoic foci.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Cervical lymph node in the left lateral neck with nonspecific morphology, including a prominent cortex, measuring 1.2 x 0.6 x 1.4 cm. OTHER: No significant abnormality noted.
1. 1.8 cm indeterminate nodule in the mid body of the thyroid gland for which further evaluation with FNA is recommended.2. Indeterminate left cervical lymph node which could also be further evaluated with FNA if clinically indicated. 3. Heterogenous thyroid echotexture, nonspecific and may be seen in setting of thyroiditis. 