Value of Contrast-Enhanced Ultrasound in Adjusting the Classification of Chinese-TIRADS 4 Nodules

Figure 4

Adjustment of C-TIRADS classification of a thyroid nodule with early washout in CEUS. A 37-year-old male patient with a right thyroid nodule, maximum diameter of 23 mm, which was originally classified as C-TIRADS 4A before the adjustment based on the CEUS results. The nodule was reclassified as C-TIRADS 4B after the adjustment. (a) Two-dimensional gray scale. (b) Hyperenhancement at 15 s in CEUS. (c) Hypoenhancement with early washout at 21 s in CEUS. (d) Diagnosed as papillary thyroid carcinoma in histopathology (HE × 100). CEUS: contrast-enhanced ultrasound; C-TIRADS: the Chinese-Thyroid Imaging Report and Data System.

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