69-year-old female presents for evaluation of a multinodular thyroid. RIGHT LOBE MEASUREMENTS: 5.2 x 2.1 x 1.9 cm.LEFT LOBE MEASUREMENTS: 6.5 x 1.8 x 2.3 cm.ISTHMUS MEASUREMENTS: 0.5 cm.RIGHT LOBE: There are numerous nodules of cystic and cystic-solid composition with benign morphology. A representative lesion measures approximately 1.5 x 1.3 x 1.2 cm in the inferior, posterior right thyroid.LEFT LOBE: There are numerous nodules with cystic and cystic-solid composition with benign morphology. A representative lesion measures approximately 1.2 x 0.7 x 1.3 cm in the superior, anterior left thyroid.ISTHMUS: There is a well-defined round solid lesion measuring approximately 1.6 x 1.2 x 1.3 cm in the left aspect of the isthmus superior.
1. Well-defined solid lesion in the left aspect of the isthmus as described above. Correlate with prior biopsy to see if this was the nodule that was sampled. If this is not available, this lesion is amenable to ultrasound-guided percutaneous biopsy.2. Numerous nodules of cystic and cystic-solid composition; benign etiology is favored.