I think you asked this question before. This nodule has grown after 9 weeks. Unless this is a hot nodule, i.e. increased iodine up take with radionuclear scan, then malignancy can't be ruled out although chance of malignancy of a hyperechoic nodule is much lower than a hypoechoic nodule. If it is a cold nodule, biopsy should be done for your peace of mind. Good luck.
Answered 9/25/2023
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