Can someone tell me what this means? I had this unltra sound done 08/05/11
The right lobe of the thyroid measures 8.4 x 3.4 x2.6 cm and is heterogeneous. Multiple nodules are present. Some of these nodule can be correlated with previous ultrasound from 05/28/2008. The nodules are noted as follows. In the inferior portion a 1.1 x 1.0 x .9 cm nodule, which is hypoechoic. A complex nodule in the mid portion of the right lobe measures 1.5 x 1.5 x 1.2 cm. A previosly noted nodule in the mid portion of lobe now measures 2.3 x 1.6 x 1.1 cm. Previously it measured 9.3 x 11 x 6 mm. Within the anterior portion of the right mid lobe a hypoechoic nodule with internal flow is noted at 1.4 x 1.2 x .7 cm and within the superior pole a nodule i hypoechoic with increased flow measuring 8.5 x 8.1 x 5.4 mm.
The left lobe measures 7.2 x 2.0 x 2.6 cm. There are four nodules in the left lobe, one that is complexed in the superior pole measures 2.2 x 1.9 x 1.5 cm. This had measured 1.4 x 1.5 x .9 cm on the previous study. Within the inferior pole there is a 13.5 x 8.3 x 6.6 mm hypoechoic nodule with flow. This previously had measured 7.3 x 5.8 x 3.9 mm. Two nodules are identified that are not related to previous nodules. One in the inferior pole, which is mildly hypoechoic measures 1.5 x 1.4 x 1.1 cm and an isoechoic nodule in the mid portion measures 11.2 x 7.5 x 7.6 mm.
Within the isthmus there are two nodules. One measuring 1.4 x 1.2 x 1.0 cm and a second one along the superior margin measuring 7.4 x 9 x 5.1 mm. The isthmus measures 6.8 mm in its average thickness.
Impression: Multiple nodules. Some are new and other are increased in size. With the numerous nodules present, this most likely represents multinodular goiter. One nodule in each lobe measures greater than 2.0 cm in size . Fine needle aspiration of these two larger nodules would be recommended to confirm the multinodular goiter diagnosis. This would be recommended for further evaluation.