51 year old female with elevated PTH and calcium. RIGHT LOBE MEASUREMENTS: 1.5 x 2.5 x 5.9 cmLEFT LOBE MEASUREMENTS: 1.2 x 2.5 x 5.4 cmISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: The right thyroid lobe is normal in morphology, echogenicity and size without a discrete dominant nodule.LEFT LOBE: The left thyroid lobe background parenchyma is normal in echogenicity. There is a 1.4 x 0.9 x 0.6 cm superior pole solid hypoechoic nodule with well defined margins. No hypervascularity or associated calcifications. Additional, 8 x 5 x 7 mm inferior pole hypoechoic nodule with minimal vascularity and well-defined margins. No associated calcifications. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Immediately dorsal to the inferior pole of the left thyroid lobe is a 1.1 x 0.7 x 1.4 cm hypoechoic lesion without significant vascularity which may represent a parathyroid adenoma. LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. 1.4 cm lesion immediately dorsal to the inferior pole of the left thyroid lobe may represent a parathyroid adenoma; correlate with nuclear medicine study.2. 1.4 cm left thyroid lobe solid indeterminate nodule.