The right lobe of the thyroid gland is replaced by a large heterogeneous echopattern solid lesion. The lesion is isoechoic as well as hypoechoic area without cystic area. There are multiple tiny echogenic foci in the lesion - tiny calcifications. There is no hypoechoic halo around the lesion. There is no capsular breach. Size of the lesion is 58 x 35 x 27 mm. It is wider than taller. There are significant flow signals in the lesion. Isthmus and the left lobe of the thyroid gland shown normal size and echopattern without any focal lesion.
There are right level III-IV enlarged, non-necrotic nodes with tiny calcific foci. The nodes show increased vascularity. There is no periadenitis.