12  Thyroid Template

12.1 Thyroid Normal

US OF THE THYROID

FINDINGS:

Thyroid:

Right lobe: Normal size and homogeneous echogenicity. Size = _ x _ x _ cm. No mass.

Left lobe: Normal size and homogeneous echogencity. Size = _ x _ x _ cm. No mass.

Isthmus: Thickness = ___ mm.

Cervical lymph nodes: No enlargement.

IMPRESSION:

  • [TODO]
  • No cervical lymphadenopathy

12.2 PTC S/P TTD (1 mo)

HISTORY: A ??-year-old woman with papillary thyroid cancer S/P TTD (dd/mm/yyyy) ± with I-131 ablation.

FINDINGS:

  • Thyroid gland: Status is post total thyroidectomy. There is a small hypoechoic nodule at [right | left] sided of thyroid bed, measuring _ x _ cm., probably residual thyroid tissue or post-operative granulation tissue.

  • Cervical lymph nodes: There are multiple subcentrimeter oval-shaped lymph nodes with preserved fat hilum at the bilateral cervical regions, measuring up to ___ mm in short axis diameter.

IMPRESSION:

  • Hypoechoic nodule at [right | left] sided of thyroid bed, probably small residual thyroid tissue or post-operative change. Follow-up is advised.
  • No cervical lymph node enlargement.

12.3 S/P TTD (normal)

  • Thyroid gland: Post total thyroidectomy. Unremarkable thyroid bed. The previously seen heterogeneous hypoechoic lesion at right thyroid fossa is resolved.

IMPRESSION:

  • Post total thyroidectomy without residual thyroid tissue or recurrent tumor
  • No cervical lymphadenopathy.

12.4 Thyroid Enlarge (Diffuse)

  • [Right | Left] lobe: Diffuse enlargement, measuring about _ x _ x _ cm. No focal hypervascular lesion or extrathyroidal extension.

  • Cervical lymph nodes: There are multiple subcentrimeter oval-shaped lymph nodes with central fat hilum at the bilateral cervical regions, measuring up to ___ mm in short axis diameter.

IMPRESSION:

  • Diffuse thyroid enlargement.
  • No cervical node enlargement.

12.5 Thyroid Nodule

Thyroid gland:

  • Right lobe: Normal size and heterogeneous echogenicity, measuring ?x?x? cm. A … nodule (with … calcifications), measuring ?x?x? cm.

  • Left lobe: Normal size and heterogeneous echogenicity, measuring ?x?x? cm. No nodule. No calcification is seen.

  • Isthmus: Thickness = 2.7 mm.

  • Cervical lymph nodes: A few subcentrimeter lymph nodes at the bilateral cervical regions, measuring up to _ mm.

IMPRESSION:

  • A ?x?x?-cm … nodule with … calcifications at … thyroid lobe, (TI-RADS=?). (FNA is suggested ?)
  • No cervical lymphadenopathy.