US GUIDED FNA; 3/11/2016 9:58 AM RIGHT LOBE MEASUREMENTS: 1.4 x 1.6 x 4.5 cmLEFT LOBE MEASUREMENTS: 3.1 x 3.3 x 7.8 cm.ISTHMUS MEASUREMENTS: 1.5 cmRIGHT LOBE: There are several nodules in the right lobe which appears spongiform with comet tail artifact consistent with colloid nodules. For reference, a mid right lobe nodule measures 0.4 x 0.8 x 0.9 cm.LEFT LOBE: Within the posterior aspect of the left lobe there is a poorly defined, solid and heterogeneous mass. Margins are inconspicuous and the mass approximates 2.6 x 2.7 cm. There is some vague shadowing seen as well which may be due to calcification. Cannot exclude extrathyroidal extension.ISTHMUS: Large complex mass or adjacent masses in the isthmus are solid but heterogeneous, measuring 0.6 x 1.6 x 1.9 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: There are 2 large left cervical nodes identified. These are abnormal in morphology as well. Level 2-3 node measures 4.2 x 2.1 x 4.9 cm. Level 3-4 node measures 2.3 x 2.4 x 3.1 cm.OTHER: No significant abnormality noted.
Malignant--appearing left thyroid mass with possible extrathyroidal extension.Malignant--appearing adenopathy left neck.Indeterminant mass in the isthmus.Benign-appearing right thyroid masses.