A 60-year-old with a 1.2-cm thyroid nodule and normal TSH undergoes ultrasound showing microcalcifications and irregular margins. What is the next ste...

Question

A 60-year-old with a 1.2-cm thyroid nodule and normal TSH undergoes ultrasound showing microcalcifications and irregular margins. What is the next step per imaging appropriateness?

Accepted Answer

FNA biopsy under ultrasound guidance

Answer

No further evaluation

Answer

Radionuclide scan

Answer

CT neck with contrast

Answer

Empiric levothyroxine suppression

us-abim MCQ (SBA): Thyroid Nodule (FNA Indication)

A 60-year-old with a 1.2-cm thyroid nodule and normal TSH undergoes ultrasound showing microcalcifications and irregular margins. What is the next step per imaging appropriateness?