Figure 2.

Longitudinal ultrasonography image from a 39-year-old woman with papillary thyroid carcinoma shows a 6-mm solid, hypoechoic, and ill-defined margin thyroid nodule with punctate echogenic foci, associated with LN metastases presenting as diffuse hyperechogenicity with punctate echogenic foci, L/S<2.The nodule was classified as EU-TIRADS 5:high risk or K-TIRADS 5:high suspicion. The LNs in level VI were classified as “suspicious for malignancy” according to the EU-TIRADS category and “suspicious” for the K-TIRADS category. The FNA failed based on nodule size, while according to the LNs was suggested.