Tiny TR4 nodule but they don’t recommend follow up? 😭
These are my thyroid ultrasound results.
Impression
Diffusely heterogeneous and hypervascular thyroid suggesting thyroiditis. Overall thyroid is top-normal to mildly enlarged.
TI-RADS category 4 partially calcified right thyroid nodule measuring 0.3 cm for which no routine follow-up is recommended. Consider follow-up if clinically warranted
The American College of Radiology TI-RADS committee's white paper recommendations for thyroid lesions classified as TR4 are listed below:
> than or equal to 1.0 cm. Follow-up ultrasound in 1, 2, 3, and 5 years.
> than or equal to 1.5 cm. FNA.
FINDINGS:
Right thyroid measures 5.3 x 1.5 x 1.2 cm and the left measures 4.5 x 1.4 × 1.6 cm. Isthmus measures 0.4 cm in AP dimension. Thyroid is top-normal to mildly enlarged and mildly heterogeneous in echogenicity.
The thyroid vascularity is elevated. There is a hypoechoic nodule with echogenic macrocalcification involving the right thyroid measuring 0.3 × 0.3 × 0.3 cm, TI-RADS category 4.
Why aren’t they recommending follow-up for the nodule? I understand it doesn’t meet the requirements but how will I ever know if it grows/is cancer. 😭 please help me, have any of you had a TR4 nodule this small that was cancerous?