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The American College of Radiologys TI-RADS assigns points to thyroid nodules based on five features: Composition (how cystic a thyroid looks) Echogenicity (the ability to bounce back an echo during an ultrasound exam) Shape (wider-than-tall, or taller-than-wide) Margin (how far the thyroid extends around surrounding organs) Echogenic focus (bright spots or shadows seen on an ultrasound) Based on that ratings scale, nodules are then classified as: Benign (non-cancerous) Not suspicious Mildly, moderately, or highly suspicious 5

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