Reason: Evaluate for suspicious cervical lymphadenopathy in the central and lateral neck in a patient s/p total thyroidectomy for papillary carcinoma with right modified neck dissection in 1997 with a new suspicious mass. Also history of primary hyperparathyroidism. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy. Within the right thyroidectomy bed, there is a heterogeneous, predominantly solid mass measuring 4.2 x 5.7 x 4.8 cm which demonstrates internal vascularity.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy. RIGHT LOBE: Status post thyroidectomy.LEFT LOBE: Status post thyroidectomy.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: See above. LYMPH NODES: Few benign morphology lymph nodes in the right level 3 and left level 2 and 3 stations.OTHER: No significant abnormality noted.
Solid mass within the right thyroidectomy bed measuring up to 5.7 cm which is nonspecific but could reflect recurrent neoplasm or parathyroid adenoma. The lesion would be amenable to fine-needle aspiration.