The left lobe of the thyroid gland is enlarged. Homogeneous echogenicity is noted. A 1.28cm mixed solid and cystic lesion is noted in the middle part of the left lode. A few echogenic foci are seen in the soft tissue part suggestive of calcifications. Mild increase in vascularity is noted around this lession on colour doppler.
A mainly cystic lesion of about 2.45 x 2.15 x 2.66cm (L x AP x W) in size is noted in the middle part to lower pole of the left lobe. Some soft tissue echoes are seen in the upper part of this lesion. No significant increse in vascularity is noted on colour doppler.
No mass lesion or cystic area is noted in the right lobe. No retrosternal extension is seen. No encroachment of trachea or adjacent blood vessels is seen.
Comment
A 1.28cm mixed solid and cystic lesion with internal calcifications in the middle part and a 2.66cm complex cystic lesion in the middle part to lower pole of the left lobe of thyroid gland respectively. FNA of both lessions is suggested for further evaluation. No other abnormality is noted.