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Ultrasound results question

Multiplanar, bilateral gray scale ultrasound of the thyroid with limited Doppler vascular ultrasound.

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)
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.
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649848 tn?1534633700
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).
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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
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649848 tn?1534633700
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Queensland, Australia
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