The clinical management of nodular thyroid disease is controversial.1,2,3,4,5,6,7,8,9,10,11 and 12 The finding of a thyroid nodule poses considerable anxiety for patient and physician alike, despite the modest probability of malignancy and the likelihood that a tumor, if present, will follow a relatively benign course. In the evaluation of thyroid nodules, the physician has the opportunity to use a growing number of diagnostic tools, no single one of which provides the desired accuracy in identifying all cases of carcinoma requiring surgical intervention. Some consensus has been reached, however, on guidelines for the diagnosis and management of thyroid nodules.13