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<p>Smears are hemorrhagic, show abundant thin and thick colloid and scattered follicular cells with few follicular structures arranged in macrofollicles form. Background also shows some macrophages, some are hemosiderin laden. Follow up (clinical and sonographic) is recommended. No evidence of atypical or malignant cells. </p>
<p>Thyroid swelling. U/S: left thyroid lobe nodules, suspected of multinodular goiter.</p>
<p>Submitted 3 unstained smears.</p>
<h3><strong>Lt. thyroid lobe nodule, guided FNAC:</strong></h3><ul><li><strong>Benign cytology, consistent with adenomatoid follicular nodule.</strong></li><li><strong>Bethesda class II. </strong></li><li><strong>Recommended for follow up.</strong></li></ul><p><br></p><h4><strong>COMMENT:</strong></h4><h5>According to Bethesda System for Reporting Thyroid Cytology (BSRTC), for adenomatoid nodule (benign cytology, Bethesda category II), the risk of malignancy is 0-3%, follow up both (Clinically and radiologically) is recommended.</h5>
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