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<p class="ql-align-justify">The cytological smears show moderate cellularity on a hemorrhagic background and moderate amounts of colloid. The follicular epithelial cells are primarily arranged in cohesive, monolayered sheets and macrofollicular clusters. The individual follicular cells appear small and uniform, featuring regular, round nuclei with evenly distributed chromatin and inconspicuous nucleoli. There is no evidence of significant nuclear crowding, overlapping, or the characteristic features of malignancy, such as nuclear grooves or intranuclear pseudoinclusions. No significant inflammation or necrosis is observed.</p>
<p>Solid nodule lesion with cystic changes at the right thyroid lobe.</p>
<p class="ql-align-justify">Sixteen unstained smears slides were submitted and stained TIRADS III).</p>
<p><strong><em><u>Thyroid image guided FNAC:</u></em></strong></p><ul><li><strong>Bethesda Category II: Benign</strong> <strong><em>Consistent with a Benign Follicular Nodule (Adenomatoid or colloid nodule).</em></strong></li></ul><p><br></p><h3>COMMENT</h3><h5 class="ql-align-justify"><strong>According to The Bethesda System for Reporting Thyroid Cytopathology, a Category II (Benign) result carries a very low risk of malignancy (typically <3%). This result aligns with the TIRADS III ultrasound classification mentioned in your earlier report, which also suggests a "probably benign" lesion.</strong></h5>
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