The thyroid is normally imaged by ultrasound.

Normal thyroid

Ultrasound thyroid (transverse plane) Normal image of the thyroid gland at the level of the isthmus. 1: right common carotid artery 2: right lobe 3: trachea 4: left lobe 5: left common carotid artery 6: left jugular vein 7: isthmus

Investigation of choice

  • Both right ,left lobes and isthmus are examined .Color Doppler is used to see vascularity. Ultrasound shows anatomical detail of thyroid and adjacent blood vessels and structures.

  • Normal parenchyma: homogeneous medium to high level echoes compared to adjacent neck muscles.

  • Ultrasound determines whether a nodule is cystic or solid or a mixture of both.

  • Simple cysts are invariably benign. Complex solid/ cystic lesions are usually benign. A solid mass could be a carcinoma or an adenoma.