Case 5: Nodule: 1 (characterize the largest nodule only)

• Size: _____________________ cm
• Location: Left/Rt Upper/Mid/Lower
• Composition: __________________ (___points)
• Echogenicity: Iso/Hyper/Hypoechoic (___points)
• Shape: Not taller than wide/ taller than wide ( (___points)
• Margin: lobulated/irregular (___points)
• Echogenic foci: _________________ (_____points)

ACR TI-RADS total points: _______

ACR TI-RADS risk category: TI-RADS _______

ACR TI-RADS Recommendation: _____________________________________________

TI-RADS 1 (0 points): Benign- No FNA indication

TI-RADS 2 (2 points): Not suspicious- No FNA indicated

TI-RADS 3 (3 points): Mildly suspicious- FNA is > or = 2.5 cm, follow if > or = 1.5 cm

TI-RADS 4 (4-6 points): Moderately suspicious- FNA if > or = 1.5 or follow if > or = 1.0 cm

TI-RADS 5 (7 or more points): Highly suspicious- FNA if >=1.0 cm, follow if >=0.5 cm

NOTE: The TI-RADS classification of thyroid nodules has been adopted to standardize risk stratification based on a common lexicon to inform practitioners about which nodules warrant biopsy. The imaging criteria for TI-RADS criteria and documentation are available online at www.acr.org/Quality-Safety/Resources/TIRADS