54 year old female with bilateral thyroid nodules and anterior superior neck mass. RIGHT LOBE MEASUREMENTS: 6.0 cm x 2.2 cm x 2.1 cm. LEFT LOBE MEASUREMENTS: 6.0 cm x 1.7 cm x 1.5 cm. ISTHMUS MEASUREMENTS: 4 mm in thickness.RIGHT LOBE: A relatively isoechoic nodule is seen along the midpole of the right lobe measuring 0.9 cm x 0.8 cm x 0.8 cm and contains no internal vascularity or definite microcalcifications. There is inferior extension of the right thyroid lobe measuring 1.6 cm x 1.1 cm x 1.1 cm with no increased vascularity or definite microcalcifications. LEFT LOBE: Along the midpole of the left thyroid lobe there is a slightly hypoechoic heterogeneous nodule measuring 1.1 cm x 0.8 cm x 1.2 cm with no internal vascularity or definite microcalcifications. ISTHMUS: No significant abnormality noted. PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Small subcentimeter lymph node along the left lateral neck. OTHER: In the neck at level 6 superior to the isthmus there is a heterogeneous nodule measuring 1.4 cm x 0.7 cm x 1.6 cm with no internal vascularity or definite microcalcifications. This may be separate from the thyroid gland.
1. Multiple thyroid nodules bilaterally that do not meet size criteria for biopsy. There is what apparently represents an inferior extension of the right thyroid lobe, further described above, however attention to this area is recommended on subsequent imaging. 2. Heterogeneous nodule in the neck at level 6 superior to the isthmus which was subsequently biopsied, pathology report pending. 