57-year-old female with biopsy-proven left papillary thyroid carcinoma. Evaluate for nodal disease. RIGHT LOBE MEASUREMENTS: 3.6 x 2.2 x 1 cmLEFT LOBE MEASUREMENTS: 3.9 x 1.8 x 1 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Within the right lobe there is a hypoechoic and at least partly cystic mass measuring 0.6 x 0.7 x 0.8 cm without change.LEFT LOBE: Within the left lobe, there is a hypoechoic and poorly marginated mass with internal calcification consistent with papillary thyroid cancer measuring 0.9 x 0.8 x 0.8 cm without change.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign appearing lymph nodes on the right.Benign appearing lymph node at level 2 on the left. At level for there is a rounded 0.6 x 0.8 x 0.9 cm lymph node with internal calcification and abnormal flow consistent with metastatic papillary thyroid carcinoma. A second level 4 lymph node is normal in morphology.OTHER: No significant abnormality noted.
Left papillary thyroid carcinoma with a metastatic level 4 lymph node on the left.Small cystic nodule right lobe.