Question 2329
{"accessible":false,"alternatives":[{"id":11508,"text":"dedicated thyroid ultrasound and biopsy only if the nodule is ≥10 mm"},{"id":11509,"text":"dedicated thyroid ultrasound and biopsy regardless of nodule size"},{"id":11510,"text":"dedicated thyroid ultrasound regardless of nodule size with decision to biopsy based on sonographic features"},{"id":11511,"text":"dedicated thyroid ultrasound regardless of nodule size and biopsy in 6 months if there is enlargement"}],"archived":false,"correctAlternativeId":11510,"explanation":"\u003cp\u003eIt is\u0026nbsp;recommended\u0026nbsp;that the general population have dedicated thyroid ultrasound for avid nodules on \u003ca href=\"/articles/myocardial-perfusion-and-viability\"\u003emyocardial perfusion imaging (MIBI)\u003c/a\u003e and \u003ca href=\"/articles/octreotide-scintigraphy\"\u003eoctreotide scans\u003c/a\u003e with the need for \u003ca href=\"/articles/ultrasound-guided-fna-of-the-thyroid\"\u003efine-needle aspiration (FNA)\u003c/a\u003e determined by sonographic criteria.\u003c/p\u003e\u003cp\u003eIn patients with serious comorbidities or limited life expectancy,\u0026nbsp;no further evaluation of the \u003ca href=\"/articles/incidental-thyroid-nodule-1\"\u003eincidental thyroid nodule\u003c/a\u003e\u0026nbsp;is required unless warranted clinically in the judgment of the referring clinician or specifically requested by the patient or referring physician.\u003c/p\u003e","id":2329,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2329","nextQuestionPath":"/articles/incidental-thyroid-nodule-1/questions/2328","relatedArticles":[{"id":37070,"title":"Myocardial perfusion and viability","link":"/articles/myocardial-perfusion-and-viability?lang=us"},{"id":9705,"title":"Octreotide scintigraphy","link":"/articles/octreotide-scintigraphy?lang=us"}],"alsoUsedIn":[{"id":250,"kind":"LiveSchedule","title":"250","link":"https://radiopaedia.org/admin/live_schedules/250"},{"id":217,"kind":"LiveSchedule","title":"217","link":"https://radiopaedia.org/admin/live_schedules/217"},{"id":249,"kind":"LiveSchedule","title":"249","link":"https://radiopaedia.org/admin/live_schedules/249"},{"id":247,"kind":"LiveSchedule","title":"247","link":"https://radiopaedia.org/admin/live_schedules/247"},{"id":1341,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1341","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1341"},{"id":1200,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1200","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1200"},{"id":248,"kind":"LiveSchedule","title":"248","link":"https://radiopaedia.org/admin/live_schedules/248"},{"id":151,"kind":"LiveSchedule","title":"151","link":"https://radiopaedia.org/admin/live_schedules/151"},{"id":1265,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1265","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1265"},{"id":1265,"kind":"Course","title":"Head \u0026 Neck Lectures - page 1265","link":"https://radiopaedia.org/courses/head-neck-lectures/pages/1265"}],"stem":"\u003cp\u003eWhat are the American College of Radiologists' (ACR) white paper\u0026nbsp;recommendations for a patient with a metabolically active incidental thyroid nodule seen on nuclear medicine studies other than PET-CT?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2329"}],"attemptsPercentages":[{"alternativeId":"11509","percentage":35},{"alternativeId":"11511","percentage":7},{"alternativeId":"11510","percentage":47},{"alternativeId":"11508","percentage":10}],"promptToLogin":false,"questionManager":false,"articleId":"incidental-thyroid-nodule"}