36-year-old female with a multinodular thyroid. Evaluate nodules. RIGHT LOBE MEASUREMENTS: 5.3 x 1.6 x 1.8 cm.LEFT LOBE MEASUREMENTS: 4.5 x 1.8 x 1.8 cm.ISTHMUS MEASUREMENTS: 0.2 cm.RIGHT LOBE: The right parenchyma is heterogeneous and nodular. There are multiple hypoechoic areas throughout the thyroid. There are associated somewhat linear areas of increased echogenicity which may be seen in thyroiditis. No focal mass. The right thyroid appears less vascular in comparison to the prior study.LEFT LOBE: Left parenchyma is heterogenous and nodular. There are multiple hypoechoic areas throughout the thyroid. There are associated somewhat linear areas of increased echogenicity which may be seen in thyroiditis. No focal mass. The left thyroid appears less vascular in comparison to the prior study.ISTHMUS: The parenchyma of the isthmus is heterogenous and nodular. There are multiple hypoechoic areas throughout the isthmus. No focal mass. The isthmus appears less vascular comparison to prior study.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Parenchyma heterogenous and nodular without focal mass. The appearance is suggestive of thyroiditis. Interval decrease in vascularity in comparison to the prior study dated May 2016.Due to the lack of focal mass, biopsy was not performed. This was discussed with Dr. Peter Angelos.