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. 2024 Jul 12;20(2):81–90. doi: 10.17925/EE.2024.20.2.11

Table 2: European thyroid imaging reporting and data system categories21,34.

EU-TIRADS categories Definition US features Risk of malignancy (%)
1 Normal No nodule NA
2 Benign Pure cyst, entirely spongiform 0
3 Mildly suspicious Ovoid, smooth isoechoic/hyperechoic 2–4
4 Moderately suspicious Ovoid, smooth and mildly hypoechoic 6–17
5 Highly suspicious One of the following features:
  • Irregular shape

  • Irregular margins

  • Microcalcifications

  • Marked hypoechogenicity (and solid)

26–87

EU-TIRADS = European thyroid imaging reporting and data system; NA = not applicable; US = ultrasound.