63-year-old male patient with primary hyperparathyroidism. Evaluate for thyroid nodules, size, location, and parathyroid adenomas. RIGHT LOBE MEASUREMENTS: 6.3 x 2.4 x 2.1 cm.LEFT LOBE MEASUREMENTS: 6.3 x 2.3 x 1.9 cm.ISTHMUS MEASUREMENTS: 3 mm in thickness.RIGHT LOBE: The right thyroid lobe is slightly heterogeneous in echogenicity without dominant thyroid nodule. There are a few scattered subcentimeter cysts.LEFT LOBE: There is a 1.7 x 1.5 x 1.4 cm well-circumscribed, relatively hypoechoic solid nodule within the left midpole. This nodule demonstrates mild peripheral vascularity and has a hypoechoic rim. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: There is a 3.0 x 1.7 x 1.8 cm well-circumscribed, hypoechoic nodule posterior and inferior to the right lower pole with an internal cystic component.LYMPH NODES: Benign morphology lymph nodes are noted in the right neck.OTHER: No significant abnormality noted.
1. Parathyroid adenoma candidate posterior and inferior to the right lower pole.2. Solid hypoechoic nodule within the left midpole of thyroid gland; this would be amenable to percutaneous biopsy.