Female 73 years old; Reason: eval for nodules History: symptomatic neck fullness in area of thyroid RIGHT LOBE MEASUREMENTS: 1.8 x 1.5 x 4.7 cmLEFT LOBE MEASUREMENTS: 1.7 x 1.3 x 5.9 cmISTHMUS MEASUREMENT: 0.44 cmRIGHT LOBE: Small heterogenous nodule in the right thyroid lobe measures 0.7 x 0.4 x 0.6 cm.LEFT LOBE: Heterogenous in the left thyroid lobe measures 1.4 x 0.9 x 1.1 cm.ISTHMUS: Heterogenous complex nodule with irregular margins in the isthmus measuring 1.5 x 1.2 x 1.0 cm.LYMPH NODES: Benign-appearing right neck node in level 1B measuring 1.5 x 0.9 x 0.6 cm. Additional lymph node in level 2 of the left neck measures 2.0 x 0.9 x 0.5 cm.OTHER: No significant abnormality noted.
Multiple heterogenous nodules in the thyroid most suggestive of goiter. Dominant complex nodule with irregular margins in the isthmus is amenable to fine-needle aspiration if clinically indicated.