58-year-old female Reason: rule out thyroid nodules History: thyroid nodules . RIGHT LOBE MEASUREMENTS: 4.9 x 1.9 x 1.8 cm.LEFT LOBE MEASUREMENTS: 6.4 x 2.9 x 2.7 cm.ISTHMUS MEASUREMENTS: 1.0 cm.RIGHT LOBE: Markedly heterogeneous appearing right thyroid lobe with multiple suspicious-appearing nodules. A mixed cystic and solid appearing paramedian hypoechoic inferior right thyroid nodule measures 1.4 x 0.7 x 1.6 cm and demonstrates increased peripheral vascularity.LEFT LOBE: Markedly heterogeneous appearing left thyroid lobe with multiple suspicious-appearing nodules. A heterogeneous solid left thyroid nodule measures 2.5 x 2.3 x 2.5 cm and demonstrates some possible internal vascularity.ISTHMUS: Isthmus appears mildly enlarged and heterogeneous with possible nodules.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: A right level 3 lymph node measures 0.5 x 0.3 x 0.9 cm appears benign in nature. A left level 2 lymph node measures 0.5 x 0.2 x 0.9 cm and appears benign in nature.OTHER: No significant abnormality noted.
Enlarged thyroid with multiple bilateral hypoechoic nodules. A right dominant nodule has a mixed solid and cystic appearance and a left dominant nodule has a predominantly solid appearance. If clinically warranted, FNAB is recommended.