55-year-old female with enlarged thyroid. RIGHT LOBE MEASUREMENTS: 5.2 x 2.1 x 1.5 cmLEFT LOBE MEASUREMENTS: 4.8 x 1.9 x 2.3 cmISTHMUS MEASUREMENTS: 0.6 cmRIGHT LOBE: Mildly heterogeneous in echogenicity. Much of the anterior portion of the mid pole of the thyroid is occupied by poorly defined hypoechoic region with internal echogenic rounded small nodules. The appearance is unusual for a thyroid nodule and this may represent focal manifestation of thyroiditis. Within the posterior portion of the mid right lobe there is a 0.5 cm iso to mildly hypoechoic nodule with a full hypoechoic rim.LEFT LOBE: In the upper pole of the left lobe there is an area similar to the anterior aspect of the right lobe which is hypoechoic with internal rounded echogenic component measuring approximately 0.6 x 1.1 x 1.4 cm. Again this may be a focal manifestation of thyroiditis. In the inferior left lobe there is a solid iso to mildly hypoechoic nodule with a hypoechoic rim measuring 0.4 x 0.6 x 0.6 cm, similar to small nodule on the right.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Thyromegaly with bilateral poorly defined hypoechoic regions with internal rounded echogenic components. This may be related to thyroiditis.There are small, non--- specific solid nodules bilaterally.