ULTRASOUND OF THYROID NODULES

US

•  Features of malignancy: frank invasion, solid hypoechoic mass, ill-defined margin, micro-lobulated margin, microcalcifications, taller than wide.
•  In benign nodules, look for a complete hypoechoic halo (incomplete halo could be malignant), peripheral vascularity.
•  Cystic nodules are usually benign (Note: 20% of papillary cancers are cystic).
•  Comet-tail artefact is seen in colloidal cysts (benign).



 

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