Male 45 years old; Reason: Evaluate for parathyroid adenoma History: Secondary hyperparathyroidism RIGHT LOBE MEASUREMENTS: 5.4 x 2.2 x 2.0 cm.LEFT LOBE MEASUREMENTS: 5.0 x 1.9 x 2.1 cm.ISTHMUS MEASUREMENT: 0.6 cm.RIGHT LOBE: There is a nodule in the inferior right lobe measuring approximately 2.2 x 1.1 x 1.8 cm. It is solid with some cystic spaces and it has poorly defined borders and mixed echogenicity. Otherwise the parenchyma of the right lobe is homogenous.LEFT LOBE: There is a nodule in the inferior left lobe measuring approximately 1.4 x 1.0 x 1.4 cm. It is predominately solid with some spongiform components, well-defined, with mixed echogenicity. Otherwise parenchyma and left lobe is homogenous.ISTHMUS: Homogenous parenchyma.LYMPH NODES: No suspicious adenopathy noted. OTHER: Round hypoechoic nodule measuring approximately 1.0 x 0.5 x 0.6 cm with well-defined borders located posterior and inferior to the right thyroid is a candidate for a parathyroid adenoma.
1.Multinodular thyroid as described above. Amenable to biopsy.2.Round hypoechoic nodule as described above is candidate for right inferior parathyroid adenoma.