Clinical information-history

・ Physical examination findings

・ Previous studies

・ Risk factors, if any

The modality of the examination

・ Device-technical features

・ Artifacts and insufficiencies

Findings

・ Echotexture, vascularization and volume of the thyroid gland

・ Nodule assessment (number, size, localization)

・ Risk categorization of the nodule

・ Is there any lymphadenopathies especially in stations number II, III, IV or VI

The features to be assessed in the presence of a nodule: Echogenicity (iso-hypo-hyper), halo (thin, thick [>2 mm], absent, disrupted), calcification (macro-amorphous, micro, eggshell-disrupted or undisrupted) capsular proximity, shape-contour (oval-circular, taller of wider), content (solid or cystic), margins (regular, irregular, microlobulated, spiculated), vascularization (absent,

peripheral, central, mixed)

Last control; are there any of the following findings?

・ MARKEDLY HYPOECHOIC

・ MICROCALCIFICATION

・ IRREGULAR CONTOURS

・ EXTRATHYROIDAL EXTENSION

・ TALLER THAN WIDE

・ METASTATIC LYMPH NODE

Conclusion and suggestions

・ Dominant nodule (2 or 3 dominant nodules at most) localization, size and the dominant property

・ Comparison with the previous examinations (differences, progression, new feature)

・ TIRADS

・ Control US or FNAB suggestions