Clinical presentation: A 52-year-old woman came to a follow up. She was treated with Graves' hyperthyroidism 12 years ago. At this time, a non-autonomously functioning nodule was diagnosed with the dimensions of 15x12x20 mm. Cytology was benign.

Palpation: no abnormality.

Functional state: euthyroidism (TSH 0.76 mIU/L, FT4 15.4 pM/L).

Ultrasonography. The thyroid was echonormal and has tiny hypoechoic areas. The echogenicity index was around 5%. There was a hypoechoic nodule in the right lobe. The lesion showed taller-than-wide shape, had a halo and perinodular vascularity. The dimensions were 12x14x17 mm.

Suggestion: TSH in two years, ultrasound in 3-5 years.

Comment. It seems to be evident that in a nonparallel lobe, the chance being a nodule also nonparallel is higher simply because of the anatomical conditions. Nonparallel orientation of such nodules has much less importance.