Aa
Aa
A
A
A
Close
Avatar universal

Ultrasound results question

TECHNIQUE:
Multiplanar, bilateral gray scale ultrasound of the thyroid with limited Doppler vascular ultrasound.
  
COMPARISON:
None.

FINDINGS:
Thyroid: The thyroid gland parenchyma is homogeneous. The right lobe is 6.1 x 2.3 x 2.7 cm. The left lobe is 6.2 x 2.1 x 2.0 cm. The isthmus is 7 mm in thickness. There is an ill-defined region in the inferior right thyroid lobe, which may represent an irregular mixed cystic and solid nodule. Subcentimeter hypoechoic to cystic nodules within the left lobe.

Focal Thyroid Observations: (If present and relevant, a maximum of 2 nodules will be described below per TI-RADS recommendations).

Nodule # 1, Size 2.0 cm, inferior right thyroid lobe
COMPOSITION: mixed cystic and solid = 1
ECHOGENICITY: hypoechoic = 2
SHAPE: wider than tall = 0
MARGIN: lobulated/Irregular = 2
ECHOGENIC FOCI (Choose All That Apply):
none or large comet-tail artifacts = 0
Macrocalcifications = No = 0
Peripheral/rim calcifications = No = 0
Punctate echogenic foci = No = 0
ACR TI-RADS risk category: TR4 (4-6 points)
  
IMPRESSION:
Irregular, ill-defined region in the inferior right thyroid lobe which may represent a mixed cystic and solid nodule with irregular margins, compatible with a TI RADS 4 lesion. Given size greater than 1.5 cm, FNA of this region is suggested.
2 Responses
Sort by: Helpful Oldest Newest
Avatar universal
Here the rest of the report
ACR TI-RADS recommendations
TR 5 (greater than or equal to 7 points) - FNA if greater than or equal to 1cm, follow-up if 0.5 -0.9 cm every year for 5 years
TR 4 (4-6 points) - FNA if greater than or equal to 1.5cm, follow-up if 1 -1.4 cm in 1, 2, 3 and 5 years
TR 3 (3 points) - FNA if greater than or equal to 2.5cm, follow-up if greater than or equal to 1.5 cm in 1, 2, 3 and 5 years
TR 2 (1-2 points) - Not suspicious
TR 1 (0 points) - Benign

Ref. J Am Coll Radiol 2017;14:587-595 AVAILABLE AT: http://www.jacr.org/article/S1546-1440(17)30186-2/pdf


Dictated:    6/24/2021 10:08 AM
Electronically Signed by: Dr. Sarah M Deraney
Signed Date and Time: 6/24/2021 10:13 AM
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
Do you have a FNA scheduled yet?  

What would you like to know about your ultrasound?

I, too, have a TI-RAD 4 nodule on my thyroid.  We'll do another ultrasound in a couple of months.  My nodule is smaller than yours, so it did not require FNA (yet).
Helpful - 0
Have an Answer?

You are reading content posted in the Thyroid Disorders Community

Top Thyroid Answerers
649848 tn?1534633700
FL
Avatar universal
MI
1756321 tn?1547095325
Queensland, Australia
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
Condoms are the most effective way to prevent HIV and STDs.