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Cheryl
The FNA is ordered because two biggest nodules are more then 1 cm in size and the increased color flow is present.
However: “We determined that color Doppler cannot reliably distinguish benign from malignant thyroid nodules; fine-needle aspiration biopsy remains the most accurate method in differentiating benign and malignant lesions. We suggest that color Doppler sonography plays only a LIMITED role in the evaluation of nodular thyroid disease at this time.” Source:
Color Doppler sonography: Anatomic and physiologic assessment of the thyroid
Karen J. Clark, MD, John J. Cronan, MD *, Francis H. Scola, MD