Table 3.

Findings That May Prompt Axial Imaging

• Hoarseness with vocal cord paresis/paralysis

• Progressive dysphagia or odynophagia

• Mass fixation to surrounding structures

• Respiratory symptoms, hemoptysis, stridor, or positional dyspnea

• Large size of tumor or mediastinal extension, incompletely imaged on ultrasound

• Rapid progression/enlargement

• Sonographic suspicion for significant extrathyroidal invasion (cT4)

• Bulky, posteriorly located, or inferiorly located lymph nodes incompletely imaged by ultrasound

• Ultrasound expertise not available