Thyroid nodules and Tirads

[@kittyhurst6566]

Had an ultrasound today after the ultrasound last week (while having Carotid U/S done) showed a 1.4x.98x1.16 hypoechoic nodule. Will see endocrinologist in December for Consult. i am a retired Cardiac Sonographer and Abdominal U/S Sonographer, and this was a great explaination for anyone.

[@siripornchartpanich4170]

I was given TIRAD 5 on my MRI and ultrasound with the impression as “highly suspicious:if FNA if >=1cm. and yet my ENT doctor ordered and FNI right away of which the result shows the nodule is benign. She talked me to have a thyroidectomy and acted very pushy citing over and over that the term “ internal micro calcification” and the family history (my mother aged 82 has thyroid cancer) mean I have very high risk of thyroid cancer. She scheduled a neck sergeant appointment for me the next day which I later on cancelled. She didn’t even answer my question about active surveillance (if it could be one of my choices). I am so grateful that I found this video. 🙏🙂

[@rajendrakumarsinghmehra2368]

Great lecture, Very informative .Thanks for sharing.

[@soloinmanila]

Thank you for making this available to everyone!:) Very helpful and succint lecture!

[@RadiologyVideo]

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[@bhagwatiraheja9806]

Excellent explanation of staging in thyroid cancers

[@RadiologyVideo]

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[@foroughnasirifar4249]

Very helpful and great explanation for understanding of characteristics of nodules. Thank you very much.

[@Gypsy1194]

Thank you, I'm gaining some understanding of TIRADS classifications. I very much appreciate your video. I have subscribed.🙏🏼

[@RadiologyVideo]

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[@TheProf777]

Thanks for sharing this. Two years ago I had a FNA on a nodule in my left thyroid, which came back as "Bethesda II." As a result of an ultrasound on my carotid arteries last month, the tech said that the left nodule appeared to have grown larger. I went to my endocrinologist last week for a Doppler high resolution ultrasound. He said it has grown quite a bit, that it is solid, hypo-echoic, with micro-calcifications and an irregular margin. My TI-RAD points equal 12, and I will have another FNA done next week including a lymph node. If the biopsy result is inconclusive, it seems that I would still need to have, at the least, a lobectomy ... not happy news, but something I will have to deal with.

[@mackygv]

How did you go?

[@jordanclarkson3700]

according to Ti-Rad protocol, if Ti-5, then fine needle aspiration. But how about just ultrasound follow up every 6 months-12 months for 5 years. If now growth, stop following after 5 years?

[@drkyleehk]

Best ultrasound teaching video by far

[@RadiologyVideo]

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[@janedawson7630]

Thank you! i will not be bullied about over diagnosing and treatment now!

[@RadiologyVideo]

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[@janosbardos9379]

Iit was very helpful video. Thanks

[@daniellet7666]

Who is responsible for grading these nodules? The staff Technologist or the radiologist ?

[@sundusAli-h2j]

Really, very demonstrated video Thanks dear

[@The_Empire_Chronicles]

Thank you, incredibly helpful!

[@leylam7667]

thank you very much .can you explain please how to meausure shape if nodule size 1.8*1.6*1,3.i mean how determine if a nodule wider than tall ot versus.

[@RadiologyVideo]

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[@Icepoddy]

Brilliant work. Thank you ma'am.

[@RadiologyVideo]

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[@zuleyxarzayeva339]

Thanks for great lecture! Very helpfull💐

[@RadiologyVideo]

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[@lawyertammy]

Very informative and well explained

[@RadiologyVideo]

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[@ashrafshafei7220]

Thanks alot for this great lecture

[@RadiologyVideo]

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[@radiologicalman1623]

thanks a lot for this awesome video.

[@RadiologyVideo]

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[@arusmatulka]

Thank you very much. This presentation the best for studing TIRADS

[@RadiologyVideo]

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[@joaquinabirung850]

Excellent presentation,congratulations

[@RadiologyVideo]

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[@dbrown1500]

Suppose my report does not address these features?

[@alannacarlson6715]

Thank you for sharing! Can you explain why foci which are "presumably microcalcifications" receive more points than macrocalcifications do?

[@RadiologyVideo]

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[@rd56741n]

What about elastography and core thyroida biosy

[@RadiologyVideo]

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[@achalesh100]

Very helpful. Precise.Thank you so much

[@RadiologyVideo]

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[@maimoona7763]

Very help full, thank you so much

[@RadiologyVideo]

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[@Carapooh13]

I am struggling to understand my TIRAD 3 score. My documents show a 1cm x .4cm x.8cm nodule on the right side. The composition is solid which tells me thats 2 points then the echogenicity is marked hypoechoic which should also be 2 points. Everything else scored a zero so would tht not be a TI-RAD4? the report sent to my doctor rated it as a TI-RAD3 with no further testing recommended. The reason I was scanned was due to hoarseness and swallowing difficulties and now im afraid something is being missed.

[@InduKannan-c2b]

How r u

[@looniebinjim4150]

Same EXACT situation here

[@Livelovelife-t5f]

Thank you! this was very helpful

[@RadiologyVideo]

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[@MrAhasif]

very nicely explained thanks.

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[@kevinpowers9024]

Good video, thank you for sharing. I received my ultrasound report today. I have 2 nodules. One scored a 3 and the other a 5. I'm waiting for the ENT Specialist to call and schedule biopsies. If the ENT schedule is booked 5 weeks out, should I seek another that may get me in sooner? This happened with my ultrasound referral and I requested another. The second referral got me to me in only 4 days. The first couldn't see me for 5 weeks. I've read that Anaplastic TC is really aggressive, grows fast and also spreads. I feel like I need to be seen asap. Your thoughts?

[@mayra.veronica]

results?

[@kevinpowers9024]

@@mayra.veronica Benign. My 6 months check up went well. No growth. Back in a year.

[@hnohno8317]

Really helpful thanks

[@RadiologyVideo]

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[@ercandonmez5182]

Thank you very much

[@RadiologyVideo]

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[@tungstenwhizard4361]

Was Tirads new back at the time?

[@mahmoudsne3041]

very good lecture , thank you , I would like to ask you about multinodular goitre , innumerable nodules variable sized we return to the benign item of goitre or each nodule classified by the malignant criteria

[@RadiologyVideo]

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[@K70sflowerchile]

Very helpful! Thank you🙂

[@RadiologyVideo]

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[@AbB-ul5po]

Do you have an email I can send one to help grade on the tirad scale ?

[@DivineDestiny77]

What if I had an ultrasound 1.5 years ago that was .7 cm’s in size. Then when I got an ultrasound over 1 year ago it was 1 cm in size. It was rated as T4 at that time. About 4 weeks ago I started having pain in the front of my neck that woke me up at night. Then the last 3 days I started having that pain again but it was much more severe. I called the Endocrinologist to schedule an appt and the earliest Appt is 2.5 months out! The person I spoke with said for me to go to the ER if I don’t want to wait that long. The symptoms I’ve been having is: severe pain pushing on my neck, pain and pressure on my voice box making it hurt to talk, occasional swallowing problems, and slight burning pain in that part of the as of today. A few times I felt the need to cough from the pain also. Could a benign nodule cause pain in the neck or would this indicate a stronger likelihood for malignancy?

[@ravinbray4889]

any update?

[@DivineDestiny77]

@@ravinbray4889 Thx for asking. I’ll let you know tomorrow after I see an ENT Doctor in follow up to an ultrasound I had. From the 3 ultrasound images I got (that I had the radiologist print for me) I couldn’t help but notice micro calcifications and peripheral calcifications on the mostly solid nodule. I’ve continued to have pain the last week and will keep you posted on what I find out.

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[@Jessabby09]

@@DivineDestiny77 how did your appointment go?

[@kimberleydownunder]

I have t4 also and have the exact pain it’s scary .I’m getting biopsy soon

[@leabongalon8731]

I have tirad 4 , very hypoechoic completely solid2 not taller than wide.ill defined macrocalcification.

[@Uaena11_24]

My nodule was biopsied 2 years ago, (benign) and was moved yo tirads 2 since it become isoechoic. In my recent ultrasound, it was moved bavk to tirads 3 become hypoechoic again, still solid but now have tiny cystic foci. Do i still need to biopsy this nodule again even after the result of the biopsy 2 years ago. And i also now have 17 nodules, previously only 2.

[@thetruthalwayswins340]

I have the same issue how are you doing now

[@michellehicks8357]

17 wow! I had a incidental finding that has 8, with all varying sizes plus 4 of the 8 are TR3(2), TR4, TR5 w/ punctate calcification... Great video. I haven't seen very many cases with as many nodules as both of us. And I will be asking about RFA Radio frequency ablation if there is talk of surgery. Good luck!!

[@vincentlim5158]

da best! thank you very much!

[@RadiologyVideo]

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[@reaperdrakeff1721]

I have tirod lll measuring 20*24

[@reaperdrakeff1721]

I have Tirads3 and left lub tirads ll what does it means ehich stage is this

[@athomewithjenny]

Thank you

[@user-is5vp2nv9s]

What about hypoechoic nodules with sound transmission? Means they are not dense? Do they still get high score?

[@RadiologyVideo]

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[@fatimazohraelyaagoubi6835]

thank you !

[@avarose__]

Great video. Do you know that 'easy' is misspelled in your channel name? You should be able to change it in your channel settings. It currently says 'radiology made esay' and should say 'radiology made easy'.

[@RadiologyVideo]

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[@NatalieBarchitta]

It sounds like there needs to be more clinical and definitive information in using features in final reports. I had my final report with very vague information with no characteristics documented leading to their final grading. There needs to be more diagnostic criteria and better clinical differentiation to back up the information you provided. Why do an ultrasound? If what you are presenting that thyroid cancer is so rare. IKt doesnt make sense.

[@nunyabusiness9691]

what does mild eccentric corticol thickening mean of a neck lymph node found near a TR3 nodules?

[@RadiologyVideo]

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[@sammysam5404]

I did a ultrasound bout 5yrs now dey tell me d drs needed to do surgery to remove the nodules an guess wat dey only give me aspirin. Ultrasound again this yr ENT said i needed to do surgery but i had to do a ct scan first an my ct came back perfectly fine.

[@wafulapatrickbob801]

And blood flow. How add it up

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[@Rymcasr]

How is TiRads impacted by local lymph node involvement

[@RadiologyVideo]

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[@lgpsan]

I have a Solid, hypochoic nodule with punctate microcalcifications measuring 8mm. They want me to wait a year to follow up but I would like to ask them to biopsy now. Are exceptions ever made if the biopsy threshold is not met?

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[@markiediuyan6938]

How was it now?

[@RadioLogist-qv8zq]

21:35 , it's punctate echogenic foci but the score is 2 ?

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[@nunyabusiness9691]

a TR3 end up malignant?

[@RadiologyVideo]

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[@sarfaraz5097]

I have TIRADS 3 😢

[@pamellalucu5312]

Me too😢

[@elsieoncines739]

I have hypothyroidsm t4, tr3

[@carlacampus1768]

Im hyper but multi non toxic goiter what does it mean but I have multi nodule only watery

[@khalidaahmed3243]

❤❤

[@نعيمةعباس-ي8ب]

🎉

[@RadiologyVideo]

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[@latapatel1609]

Hindi me hota

[@RadiologyVideo]

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[@latapatel1609]

Hindi me translation hota to acha hota

[@RadiologyVideo]

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[@gin3205]

So I'm going to die 🙃

[@RadiologyVideo]

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[@rajendrakumarsinghmehra2368]

Great lecture, Very informative .Thanks for sharing.