66 year old female with hyperparathyroidism. Evaluate for abnormal parathyroid glands and thyroid nodules. RIGHT LOBE MEASUREMENTS: 4.9 cm x 1.6 cm x 1.4 cm.LEFT LOBE MEASUREMENTS: 4.8 cm x 1.4 cm x 1.3 cm. ISTHMUS MEASUREMENTS: 2 mm in thickness.RIGHT LOBE: Heterogeneous echotexture. Several subcentimeter nodules are seen.LEFT LOBE: Heterogeneous echotexture. Several subcentimeter nodules are seen.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Hypoechoic nodular focus which appears separate from the left thyroid lobe inferiorly is seen measuring 4 mm x 4 mm x 3 mm.LYMPH NODES: Benign-appearing right neck level 5 lymph node measuring 1.1 cm x 0.4 cm x 0.6 cm.OTHER: No significant abnormality noted.
1. Hypoechoic nodular focus inferior to the left thyroid lobe is nonspecific but given history of hyperparathyroidism may represent a parathyroid adenoma. Please refer to same day nuclear medicine scintigraphic study for additional findings. A small lymph node is another differential consideration.2. Subcentimeter thyroid nodules. 