1. Several sonographic features are associated with an increased likelihood of malignant thyroid pathology. (A) Hypoechoic nodule medial to the carotid artery; arrow denotes interface between nodule and artery; (B) Microcalcifications within a nodule; (C) Irregular margins; (D) Increased intranodular vascularity as seen on duplex imaging; (E) “Taller than wide” appearance on transverse view. (Reprinted from: (A) Reprinted from Braakman HM, et al. An unusual cause of transient neurologic deficits: compression of the carotid artery by a thyroid cystic nodule. J Stroke Cerebrovasc Dis Jan;19(1): (B) Jin J, McHenry C. Thyroid incidentaloma. Best Pract Res Clin Endocrinol Metab April;26(1):83–96. (C–E) Kangelaris G, et al. Role of ultrasound in thyroid disorders. Otolaryngol Clin North Am April;7(2):197–210 with permission from Elsevier.)
Source: Chapter 4. Ultrasound of the Neck: Thyroid and Parathyroid, Surgical and Interventional Ultrasound
Citation: Schrope B. Surgical and Interventional Ultrasound; 2014 Available at: Accessed: October 17, 2017
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