Representative images of different American Thyroid Association (ATA) sonographic patterns identified. (A) “Low” suspicion: solid, isoechoic, with rim calcification. (B) “Intermediate” suspicion: solid, hypoechoic. (C) “High” suspicion: solid, hypoechoic, taller than wide. (D) “High” suspicion: solid, hypoechoic, irregular margins. (E) “High” suspicion: solid, hypoechoic, taller than wide, microcalcifications, suspicious lymph nodes in the lateral neck. (F) “High” suspicion (pattern not defined in the ATA classification): solid, isoechoic, taller than wide.