Reason: history of right nodule + FNA for papillary carcinoma, need for lymph node mapping (central and lateral neck) RIGHT LOBE MEASUREMENTS: 4.8 x 1.5 x 1.4 cm.LEFT LOBE MEASUREMENTS: 3.0 x 1.0 x 1.0 cm.ISTHMUS MEASUREMENTS: No significant abnormality noted.RIGHT LOBE: Right inferior pole nodule measuring 2.0 x 1.7 x 1.2 cm which demonstrates irregular margins, heterogeneous internal echotexture, microcalcifications, and internal vascularity. This nodule is compatible with reported history of papillary carcinoma. LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: There are several abnormal morphology lymph nodes which are suspicious for metastatic disease, many of which contain microcalcifications. Abnormal lymph nodes are located within the right level 2, right level 3, right level 4, and bilateral level 6 stations. Furthermore, the abnormal level 6 lymph nodes extend inferior to the sternal notch, and the inferior extent is not visualized.No abnormal lymph nodes are identified within the left level 2, left level 3, left level 4, or bilateral level 5 stations.OTHER: No significant abnormality noted.
Right inferior pole dominant nodule compatible with history of papillary thyroid carcinoma. Associated lymphadenopathy suspicious for metastatic disease in the right level 2, right level 3, right level 4, and bilateral level 6 stations. The abnormal level 6 lymph nodes extend inferior to the sternal notch, and the inferior extent is not visualized.