Granny's gone and done it again

As is I think we’re being super antisocial in favor of getting there, but appreciate it h2o. I think we’re even hiding from his dad and fam who are in Sacramento, which makes me sad. Miss my sises in laws. Rest stop in another half hour or so, and we’ll stop for lunch and try to pee Kira again. Other than that, she’s been a great traveler.


View attachment 3658811View attachment 3658812
Ok we have an acre of grass she can run on
 

Results​

Impression​

2.9 x 2.4 x 2.4 cm TI RADS category 4 nodule right lobe. Recommendtissue sampling.-Note: Radiology results need to be interpreted within a comprehensive clinicalcontext. If you have questions about the radiology report, please contact theoffice of the ordering clinician.

Narrative​

THYROID SONOGRAPHY, 10/13/2023 1:41 PMCLINICAL HISTORY: Thyroid nodule(s). R22.1-Localized swelling, mass and lump,neck-ICD-10-CM.COMPARISON: None.PROCEDURE COMMENTS: Sonographic evaluation of the thyroid gland per protocol.Images and technologist notes reviewed.METHODOLOGY: Up to 4 nodules with the highest scores are reported using theThyroid Imaging Reporting and Data System (TI-RADS). This system promotes acommon lexicon for thyroid nodule description, focusing on relevant imagingcharacteristics to allow risk stratification of individual nodules and makesrecommendations for biopsy or sonographic follow-up based on the estimated riskprofile.Caveat: Deviation from the below TI-RADS management recommendations may beappropriate based on individual patient variables and/or differing societycriteria.Right lobe measures: 6.0 x 2.7 x 2.8 cmLeft lobe measures: 5.4 x 2.2 x 2.3 cmRIGHT-side lymph nodes: No suspicious lymph nodes.LEFT-side lymph nodes: No suspicious lymph nodes.Nodule #1:Location: Right lobe Size: 2.9 x 2.4 x 2.4 cm Prior measurement None.Composition: Solid or almost completely solid. 2 points.Echogenicity: Hypoechoic (equal to or more echogenic than strap muscles.) 2points.Shape: Not taller than wide. 0 points.Margin: Ill-defined. 0 points.Echogenic foci: None or large comet-tails. 0 points.Total points: 4-6 points. TI-RADS category 4. FNA if 1.5 cm or greater. Followin 1, 2, 3, and 5 yrs if 1-1.4cm.1.1 x 0.9 x 0.8 cm coarse calcification left thyroid gland corresponding to thatseen on recent CT 7/25/2023.
 

Results​

Impression​

2.9 x 2.4 x 2.4 cm TI RADS category 4 nodule right lobe. Recommendtissue sampling.-Note: Radiology results need to be interpreted within a comprehensive clinicalcontext. If you have questions about the radiology report, please contact theoffice of the ordering clinician.

Narrative​

THYROID SONOGRAPHY, 10/13/2023 1:41 PMCLINICAL HISTORY: Thyroid nodule(s). R22.1-
I'm going to get my nurse wife to read this and she if she understands any of it granny. I have no clue as to what it means. Got to go back out. Back on later.
 
Here is my last one


HISTORY Follow-up right thyroid lobe nodule COMPARISON 10/22/2020 TECHNIQUE Ultrasound evaluation of the thyroid gland was performed by a technologist. Representative images were submitted for interpretation. Evaluation of the thyroid gland utilizes the American College of Radiology Thyroid Imaging, Reporting and Data system (TI-RADS) methodology for risk stratification and bases recommendations on follow up or biopsy according to a numerical point system. FINDINGS/IMPRESSION Right lobe: 4.6 x 2.0 x 2.0 cm Left lobe: 4.5 x 1.3 x 1.4 cm Isthmus width: 0.5 cm Right lobe nodules: Lower pole solid isoechoic nodule measuring 1.1 x 1.0 cm, previously 1.3 x 1.2 cm. This is previously described as containing punctate echogenic foci, however, these are no longer appreciated. There is now regarded as a TI-RADS 3 nodule and no additional surveillance or intervention is needed. Midpole 6 mm spongiform nodule. Left lobe nodules: None. Isthmus nodules: None.
 

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