Right thyroid lobe, 5.4*2.7*2.5cm. Left, 5*2.6*2.2cm. Isthmus 11 mm in thickness.
The thyroid gland is diffusely enlarged and shows diffuse heterogeneous echogenicity and increased vascularity.
There are at least 4 nodules in the right thyroid lobe, the largest seen in the upper and lower poles, 25*18, 16*14mm. Two nodules are seen in the left, 21*13, 17*11mm. All are solid heterogeneous nodules with vascularity.
Suggest to have needle biopsy of the largest ones.