Anechoic or entirely spongiform (2 points)
Entirely isoechoic or hyperechoic (3 points)
Mildly hypoechoic (4 points)
Markedly hypoechoic (5 points)

Oval or rounded (0 points)
Irregular (3 points)

Well defined (0 points)
Irregular (3 points)

No (0 points)
Yes (3 points)

*No nodules in the tyroid gland results in EU-TIRADS1 (normal)

*Remeber to be specific and write EU-TIRADS in your report, since writing only TIRADS is ambigues, since there are many versions of the TIRADS system.

True microcalcifications are represented by tiny echogenic foci within the nodule, around 1 mm in size, and without posterior acoustic shadowing.

Link to an Image from Radiology Assistant for examples of echogenicity.

Disclaimer: This information is provided for educational purposes only and should not replace clinical judgment. This website does not guarantee the accuracy of the information presented.