55-year-old with Graves' disease. Evaluate thyroid with Doppler. RIGHT LOBE MEASUREMENTS: 7.4 x 2.8 x 2.9 cm, previously 7.3 x 4.1 x 2.0 cm.LEFT LOBE MEASUREMENTS: 6.7 x 2.3 x 2.8 cm, previously 6.3 x 2.9 x 2.0 cm.ISTHMUS MEASUREMENTS: 7 mm in thickness.RIGHT LOBE: The right thyroid gland is heterogeneous in echogenicity and contains multiple nodules, many which have imaging features of colloid nodules. The largest nodule is in the mid pole measuring 2.0 x 1.7 x 1.7 cm, previously 1.9 x 1.9 x 1.7 cm. Vascularity is slightly increased on color Doppler imaging though this may be related to the nodules.LEFT LOBE: The left thyroid lobe is heterogeneous in echogenicity and contains multiple nodules, many of which have imaging features of colloid nodules. The largest is in the lower pole measuring 3.4 x 3.4 x 2.2 cm, previously 3.0 x 2.5 x 2.1 m. Echogenic foci within this nodule may represent calcification. Vascularity is slightly increased on color Doppler imaging though this may be related to the nodules.ISTHMUS: The isthmus is heterogeneous in echogenicity.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign appearing lymph nodes noted in the left neck.OTHER: No significant abnormality noted.
Heterogeneous thyroid with multiple nodules. The dominant left thyroid nodule is slightly larger in size.