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Figure 4 | Thyroid Research

Figure 4

From: Proposed algorithm for management of patients with thyroid nodules/focal lesions, based on ultrasound (US) and fine-needle aspiration biopsy (FNAB); our own experience

Figure 4

High risk thyroid nodule/focal lesion US pattern. A. Ultrasound picture of the thyroid lesion (B-mode, Power Doppler). The scoring system - 7.5 points (high risk US pattern ≄ 7 points); C1 – microcalcifications; O – orientation – shape other than “taller-than-wide” – not shown in the figure; V - the increased intranodular blood flows; E – hypoechogenicity; H – the absence of “halo”; C2 – solid composition; D – diameter - below 3 cm (not shown); M – irregular margin; FNAB cytology in this case - category V TBSRTC; management - recommend surgery. B. Ultrasound picture of the metastatic lymph node in the same case (B-mode, Power Doppler). The scoring system - 7.5 points (high risk US pattern ≄ 7 points); the increased blood flows, mainly peripheral, in the metastatic lymph node.

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Thyroid Research

ISSN: 1756-6614