Impression: Moderately enlarged thyroid gland. Diffuse heterogenous echotexture. Thyroid gland is relatively stable in size. Several cysts/nodules in right and left thyroid lobe compatible with multinodular goiter.A 1.2 cm isoechoic solid nodule in right mid thyroid is new compared to previous ultrasound.mpression: Moderately enlarged thyroid gland. Diffuse heterogenous echotexture. Thyroid gland is relatively stable in size. Several cysts/nodules in right and left thyroid lobe compatible with multinodular goiter.
In January 2015, the Commonwealth of MA modified certain MassParks day use parking fees, including the following: 1  An increase in day use parking fees at parks and beaches that charge a parking fee. 2  An increase in fees for the annual MassParks Pass to $60 for MA residents and to $85 for non-MA residents. The charge for adding a second vehicle to an Annual Pass is now $25. Effective March 15, 2015, a new, one-time fee of $10 for a lifetime Senior MassParks Pass for Massachusetts residents 62 years or older. DCR will continue to honor Senior MassParks Passes previously issued by the agency.
Interagency Annual Pass: $80. Annual pass covering entrance and standard amenity fees for national parks and other federal fee areas; Valid for 1 year through the month of purchase . Winter use: On a snowmobile, admits the signers and children (residing in the same household under the age of 21).