ACR TIRADS Calculator for Thyroid Nodules COMPOSITION Cystic or almost completely cystic 0 Spongiform 0 Mixed cystic and solid 1 Solid or almost completely solid 2 Indeterminate due to calcification 2 ECHOGENICITY Anechoic 0 Hyperechoic or isoechoic 1 Hypoechoic 2 Very hypoechoic 3 Cannot be determined 1 SHAPE Wider than tall 0 Taller and Wide 3 MARGIN Smooth 0 Ill-defined 0 Lobulated or irregular 2 Extra-thyroidal extension 3 Cannot be determined 0 ECHOGENIC FOCI None or large comet-tail artifacts 0 Macrocalcifications 1 Peripheral (rim) calcifications 2 Punctate echogenic foci 3 #TIRADS #Calculator #Scoring #Classification #Thyroid #Nodules #Radiology #Endocrinology #Risk