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Location: Right posterior mid-upper, partially exophytic
Size : 1.8 x 1.2 x 1.5 cm
Composition: Solid: 2
Echogenicity: Mixed hyperechoic and hypoechoic: 2
Shape: Wider than tall: 0
Margins: Irregular: 2
Echogenic foci: Multiple small punctate echogenic foci: 3
Total points: 9
TI-RADS category: 5. Biopsy is advised.

The thyroid gland is heterogeneous and demonstrates nodularity of the capsule
contour. The right lobe in particular demonstrates marked parenchymal
heterogeneity and numerous punctate hyperechoic foci throughout the lobe, likely
punctate calcifications. There is a discrete 1.8 cm nodule in the mid to upper
right lobe with suspicious morphologic features.

Abnormal ultrasound, as discussed above, including a 1.8 cm TI-RADS 5 right
thyroid nodule. FNA of other portions of the gland containing numerous punctate
echogenic foci, presumed microcalcifications, should also be considered,
particularly in the right lower pole.

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replied July 19th, 2019
Gland Disorders Answer A65128
Thank you for asking at Ehealth forum!

I read your question and I understand your concern.
These findings could be due to chronic thyroiditis or malignancy. I would suggest you biopsy to sort it out.
I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care

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