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ULTRASOUND OF SOFT TISSUES OF THE NECK

CLINICAL INDICATION: A 52-year-old female with history of questionable thyromegaly.  To evaluate for goiter nodules.
 
TECHNIQUE:  Transverse and longitudinal grayscale and color Doppler images of the thyroid gland were obtained.
 
FINDINGS: The right thyroid lobe measures 3.3 x 1.2 x 1.7 cm.  The right lobe is normal in size and echotexture. There are multiple small cysts noted within the right thyroid lobe. Several of the cysts demonstrate punctate echogenic foci suggestive of colloid.  There are also multiple small isoechoic solid nodules with a thin, hypoechoic rim within the right thyroid lobe ranging up to 5 mm in size. 
 
The left thyroid lobe measures 3.2 x 1.4 x 1.2 cm. The left lobe is normal in size and echotexture and also demonstrates multiple cysts with colloid.  Small isoechoic solid nodules are also present within the left thyroid lobe.  The largest cyst within the left lobe measures 7 x 6 x 9 mm and demonstrates partial rim of calcification, suggestive of a benign nodule. 
 
The isthmus measures 5 mm in thickness and also contains small nodules ranging up to 8 mm in size.
 
IMPRESSION: Multiple small bilateral thyroid nodules and colloid cysts, suggestive of follicular adenoma/nodular hyperplasia. No thyromegaly.