Thyroid ultrasound report template (normal and with a TI-RADS nodule)
The thyroid report has two parts: the parenchyma (volume and texture) and the nodules. The template below shows the normal thyroid and the example of a nodule described by the five TI-RADS descriptors.
THYROID ULTRASOUND
FINDINGS:
Thyroid in normal position, with regular contours, homogeneous echotexture and normal echogenicity.
Right lobe: [x] x [x] x [x] cm, volume of [x] cm³.
Left lobe: [x] x [x] x [x] cm, volume of [x] cm³.
Isthmus [x] cm thick.
Total volume: [x] cm³.
No nodules.
Normal vascularity on Doppler.
No cervical lymphadenopathy.
IMPRESSION:
Normal thyroid ultrasound.
FINDINGS:
N1: solid, hypoechoic, wider-than-tall nodule with regular margins, without echogenic foci, in the middle third of the right lobe, measuring 1,6 x 1,2 x 1,0 cm.
IMPRESSION:
Nodule in the right lobe, ACR TI-RADS 4 (4 points).
RECOMMENDATIONS:
Fine-needle aspiration, for a TI-RADS 4 nodule of 1,5 cm or more.
Fields in brackets are filled in from the exam. The template is a starting point: the report must reflect what was seen and your practice's guidelines.
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