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.
The popular Senior park pass and the Access Pass (for Americans with disabilities) can now be obtained by mail. Both passes cover admission fees at most federal recreation sites, including national parks, as well as discounts on some other fees.