Cervical nodal metastasis in differentiated thyroid cancer

* Sonographic features suggestive of a metastatic lymph node include enlargement, loss of the fatty hilum, a rounded rather than oval shape, hyperechogenicity, cystic change, calcifications, and peripheral vascularity.^[1]
¶ Controversial; not all surgeons would perform a prophylactic central compartment neck dissection even in patients with large tumors or high-risk features.