87 year-old female with tachycardia and abnormal thyroid function tests. Evaluate for multinodular goiter. RIGHT LOBE MEASUREMENTS: 3.3 x 2.4 x 5.2 cmLEFT LOBE MEASUREMENTS: 2.3 x 2.3 x 5.9 cmISTHMUS MEASUREMENTS: 3 mm.RIGHT LOBE: There is a 2.1 x 2.4 x 2.7 cm hypoechoic interpolar solid nodule with small cystic components. There is mild internal vascularity and no definite associated calcifications. The margins are well-defined. There are numerous additional sub-5-mm nodules in the right thyroid lobe. LEFT LOBE: There is a 0.8 by 0.8 x 1.2 cm inferolateral left thyroid hypoechoic nodule with peripheral vascularity. The margins are well-defined. Punctate intralesional punctate echogenic foci, nonspecific, nonshadowing, no definite comet tail artifact. No definite flow seen within this nodule. Additional sub-5-mm nodules are scattered throughout the left thyroid lobe.ISTHMUS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.
1. Indeterminate dominant 2.7 cm right thyroid nodule. Given the large size of the right thyroid nodule, further evaluation with fine needle aspiration may be considered. 2. Numerous other smaller nodules seen bilaterally.