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ACR TI-RADS calculator
Nodule 1
Nodule 2
Nodule 3
Nodule 4
Location of nodule
right
left
isthmus
upper
mid
lower
lateral
medial
anterior
posterior
Size of nodule (fill at least one)
  X  
  X  
  mm
Composition
Cystic
Almost completely cystic  
Spongiform  
Mixed cystic and solid
Almost completely solid  
Solid  
Composition obscured by calcification
Echogenicity
Anechoic
Hyperechoic  
Isoechoic
Hypoechoic  
Very hypoechoic  
Echogenicity is indeterminant
Shape
Round
Wider-than-tall  
Taller-than-wide  
Margin
Smooth  
Ill-defined
Lobulated  
Irregular  
Extra-thyroidal extension  
Cannot be determined
Echogenic foci (choose all that apply)
None
Large comet-tail artifacts  
Macrocalcification  
Peripheral (rim) calcifications  
Punctate echogenic foci  
Findings:
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Impression:
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Reference:
Tessler et al. ACR Thyroid Imaging, Reporting and DataSystem (TIRADS): White Paper of the ACR TI-RADS Committee. J Am Coll Radiol. 2017 May; 14(5): 587-595.