94-year-old female with tachycardia. Evaluate for goiter. RIGHT LOBE MEASUREMENTS: 5.1-cm x 1.8-cm x 1.9-cmLEFT LOBE MEASUREMENTS: 5.7-cm x 2.3 cm x 1.8 cm.ISTHMUS MEASUREMENTS: Occupied by a complex cystic nodule. See below. RIGHT LOBE: Multiple spongiform and complex cystic nodules are present most containing echogenic foci with comet tail artifact consistent with colloid nodules. The largest of these nodules is located in the lower pole measuring 5 mm x 4 mm x 3 mm with no internal vascularity or definite microcalcifications. LEFT LOBE: As in the right thyroid lobe there are multiple spongiform and complex cystic nodules are present most containing echogenic foci with comet tail artifact consistent with colloid nodules. The largest of these nodules is located in the lower pole measuring 1.7 cm x 1.4 cm x 1.5 cm with no internal vascularity or definite microcalcifications. ISTHMUS: Complex predominantly cystic nodule in the isthmus measuring 2.5 cm x 1.4 cm x 3.1 cm with no internal vascularity or definite microcalcifications. PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multinodular goiter with features consistent with colloid nodules. 