Female 54 years old; Reason: evaluate for lymph nodes concerning for thyroid cancer spread History: hx of left papillary thyroid cancer RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 4.9 x 2.3 x 2.4 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 3.9 x 1.7 x 1.5 cm.ISTHMUS MEASUREMENT: The isthmus measures 0.4 cm.RIGHT LOBE: There is a dominant cystic/solid nodule within the right mid thyroid lobe measuring 2.2 cm x 2.1 cm x 2.6 cm.LEFT LOBE: The left thyroid lobe is heterogeneous. There is a hypoechoic nodule at the lower pole measuring 0.8 cm x 0.7 cm x 0.8 cm. This has internal vascular flow.ISTHMUS: No significant abnormality noted.LYMPH NODES: No suspicious adenopathy noted. At the right there is a level 2/3 lymph node with a fatty hilum visualized measuring 0.8 cm x 0.5 cm x 1.1 cm. Additionally there is a mildly prominent left submandibular lymph node is visualized with benign appearing morphology. This measures 2.1 cm x 1.1 cm x 0.8 cm. A fatty hilum is present.
1.No evidence of suspicious regional lymphadenopathy is identified.2.There is a dominant nodule identified in the right middle lobe, as above, which is amenable to percutaneous biopsy.3.A hypoechoic nodule seen in the left lower pole is favored to be indeterminate but may be related to the patient's known diagnosis of left papillary cancer.