Average size hypoechoic thyroid gland with coarse, heterogeneous parenchymal echotexture and pseudonodular appearance (pseudonodular or giraffe pattern). A hyperechoic nodule measuring 4 x 4 mm and a calcified nodule measuring 3 x 3 mm are seen in the right thyroid lobe. A well-defined hyperechoic nodule measuring 14 x 25 mm is seen in the left thyroid lobe. Increased vascularity is seen in the left thyroid lobe nodule on color Doppler ultrasound examination.