Reason: Large MNG, L>R, last US at OSH. Evaluate anatomy History: 68-year-old female with goiter RIGHT LOBE MEASUREMENTS: 2.0 cm x 1.5 cm x 5.4 cmLEFT LOBE MEASUREMENTS: 6.2 cm x 3.3 cm x 8.4 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: There is a dominant heterogeneous predominantly cystic nodule with internal echogenic foci which seems to demonstrate reverberation artifact consistent with inspissated colloid. No internal vascularity is seen. Several additional smaller cystic lesions noted. LEFT LOBE: The entire left lobe of the thyroid has been replaced by a large solid nodule with internal vascularity measuring 6.8 cm x 2.6 cm x 4.8 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multinodular goiter with a dominant left thyroid lobe solid nodule with internal vascularity, which would be amenable to biopsy.