ACR TI-RADS Thyroid Nodule — Structured Report

ACR TI-RADS deterministic report. Records composition/echogenicity/shape/margin/echogenic foci points, TR category, and maximum diameter; drives the size-banded follow-up recommendation.

UltrasoundThyroidv2ACR TI-RADS →

Report inputs

ACR TI-RADS deterministic report. Records composition/echogenicity/shape/margin/echogenic foci points, TR category, and maximum diameter; drives the size-banded follow-up recommendation.

Thyroid background

Parenchyma

Right lobe (cm)

Left lobe (cm)

Isthmus (mm)

Nodules

Lobe

Pole

Max diameter(mm)

Composition

Echogenicity

Shape

Margins

Echogenic foci

Vascularity

Growth

Points: 0

Lymph nodes & ETE

Suspicious cervical nodes

Extrathyroidal extension

Other findings

Summary

Nodules1

Highest TI-RADS: ___. FNA indicated: no.

Staging / Classification

Nodules1

Full report

THYROID BACKGROUND
- Parenchyma: —
- Right lobe (cm): —
- Left lobe (cm): —
- Isthmus (mm): —

NODULES
- Nodules:
  1. Echogenic foci: 

LYMPH NODES & ETE
- Suspicious cervical nodes: —
- Extrathyroidal extension: —
- Other findings: —

Nodules: 1

Based on ACR TI-RADS.

Evidence

ACR TI-RADS assigns points from composition, echogenicity, shape, margins, and echogenic foci; total points map to TR1–TR5. — Tessler FN et al., J Am Coll Radiol 2017;14(5):587-595.
FNA thresholds: TR3 ≥2.5 cm, TR4 ≥1.5 cm, TR5 ≥1.0 cm. Surveillance thresholds: TR3 ≥1.5 cm, TR4 ≥1.0 cm, TR5 ≥0.5 cm.