Multinodular goiter; history papillary carcinoma. RIGHT LOBE MEASUREMENTS: 2.7 x 2 x 6.3 cmLEFT LOBE MEASUREMENTS: 2.5 x 2.3 x 6.4 cmISTHMUS MEASUREMENTS: 0.6 cmRIGHT LOBE: No significant change in multiple predominantly solid nodules. Reference inferior nodule measures 2.7 x 2.1 x 3 cm.LEFT LOBE: No significant change in multiple predominantly solid left thyroid nodules. Reference inferior nodule measures 2 x 1.4 x 2.1 cm. Mid pole reference nodule measures 1.2 x 1.4 x 2.2 cm. Reference superior pole nodule measures 0.9 x 0.9 x 1.3 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Stable extrathyroid hypoechoic foci consistent with parathyroid adenomas. The largest again measures 1.2 x 1.4 x 2.2 cm.LYMPH NODES: Left level 3 normal sized lymph nodes that demonstrate hypoechogenicity and possible microcalcifications. A representative left level 3 lymph node measures 0.6 x 0.5 x 0.8 cm.OTHER: No significant abnormality noted.
No significant interval change in numerous bilateral predominantly solid thyroid nodules. Stable left parathyroid adenomas.Left level 3 normal sized lymph nodes that demonstrate somewhat unusual hypoechogenicity and possible microcalcifications. Metastatic disease cannot be excluded.