77 years old, Female, Reason: Thyroid nodules History: Pt is having dysphagia RIGHT LOBE MEASUREMENTS: 3.9 x 1.3 x 0.8 cmLEFT LOBE MEASUREMENTS: 3.7 x 1.9 x 1.8 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: There is heterogeneity of the right lobe of the thyroid. The largest thyroid nodule in the right is solid and slightly hypoechoic to thyroid tissue measuring 0.8 x 0.5 cm.LEFT LOBE: The largest left thyroid nodule has components of cystic and solid nature, most of which is slightly hypoechoic to the thyroid tissue with punctate hyperechoic foci which are suspicious for microcalcifications. This nodule measures 1.6 x 1.2 cm. No apparent vascular flow within this nodule.ISTHMUS: In the inferior portion of the isthmus there is a solid appearing nodule measuring 1.9 x 0.9 cm which is slightly hypoechoic to the thyroid tissue.LYMPH NODES: No significant abnormality noted.
1. Left thyroid lobe mixed solid/cystic nodule with questionable microcalcifications. This nodule is indeterminate by ultrasound and would be amenable to future biopsy/FNA.2. Solid appearing inferior isthmus nodule which is amenable to future biopsy/FNA.