Thyroid nodules are a common clinical concern, necessitating accurate differentiation between benign and malignant cases. While various imaging modalities exist, Ultrasonography (USG) has emerged as a frontline diagnostic tool due to its non-invasive nature. Sonographically suspicious criteria for malignancy are  Hypoechogenicity,Microcalcifications,Partially cystic nodule with eccentric location of the fluid portion and lobulation of the solid component,Irregular margins,Perinodular thyroid parenchyma invasion,Taller-than-wide shape and Intranodular vascularity.

The challenge lies in refining diagnostic precision. Enter the Thyroid Imaging Reporting and Data System (TIRADS), a classification system designed to standardize reporting and stratify nodule risk. This background underscores the critical need for a comprehensive, standardized approach to thyroid nodule assessment, prompting the exploration of how the integration of USG and TIRADS can revolutionize diagnostic accuracy and guide tailored patient management.