Thyroid Ultrasound Worksheet Exam Date: Technologist: Previous Ultrasound Date: Symptoms and History Follow-up New lump Difficulty swallowing Voice changes Family history of thyroid CA Hashimoto’s Graves’ Hypothyroidism Hyperthyroidism Surgical History: No Prior Thyroid Surgery Total Thyroidectomy Rt Lobe Removed Lt Lobe Removed Thyroid Measurements Lobe Length (cm) AP (cm) Width (cm) Volume (mL) Right Left Isthmus (cm) Thyroid Echotexture Homogeneous Mildly heterogeneous Markedly heterogeneous Multinodular Goitre Thyroid Vascularity Normal Increased Decreased Nodules For each nodule, enter size and TI-RADS features below: Lymph Nodes Normal Abnormal Comments / Impression: Print Worksheet Download as PDF