Dr K M Reza-Ul-Haq

16/01/2026

Thyroid Imaging Reporting and Data System (TI-RADS)

TI-RADS is a standardized ultrasound-based classification system used to assess thyroid nodules and estimate their risk of malignancy, helping guide the need for fine-needle aspiration (FNA) or follow-up.
Developed by: American College of Radiology (ACR)

Ultrasound Features Assessed

Each nodule is scored based on:
1. Composition (cystic, solid, mixed)
2. Echogenicity (anechoic to very hypoechoic)
3. Shape (wider-than-tall vs taller-than-wide)
4. Margins (smooth, irregular, extrathyroidal)
5. Echogenic foci (calcifications)

TI-RADS Categories
TR1 – Benign (0 points)
TR2 – Not suspicious
TR3 – Mildly suspicious
TR4 – Moderately suspicious
TR5 – Highly suspicious

(General Guidance)
TR1–TR2: No FNA
TR3: FNA if ≥2.5 cm
TR4: FNA if ≥1.5 cm
TR5: FNA if ≥1.0 cm


-Reduces unnecessary biopsies
-Improves communication between radiologists and clinicians
-Standardizes reporting and management decisions

01/01/2026

28/12/2025

The Brodsky tonsil classification
It is a 0-to-4 scale used to grade tonsil size, measuring how much they fill the oropharynx (throat opening) between the anterior pillars, with higher numbers indicating larger tonsils (Grade 1: 75%)

0: Tonsils removed or completely within the tonsillar fossa (hidden)
1: Tonsils are small, just outside the fossa, occupying less than 25% of the oropharyngeal width.
2: Tonsils are enlarged, taking up 26% to 50% of the throat opening.
3: Tonsils are significantly enlarged, occupying 51% to 75% of the throat opening.
4: Tonsils are very large, "kissing tonsils," blocking more than 75% of the throat opening.

importance:
1.Diagnosis: Helps quantify tonsil hypertrophy (enlargement).
2.Treatment Planning: Grades 3 and 4 often indicate sleep-disordered breathing or sleep apnea, leading to recommendations for tonsillectomy.
3.Reliability: It's a standardized, reproducible tool for doctors to consistently assess tonsil size.

12/12/2025

Vocal cord nodule

30/11/2025

28/11/2025

কমিউনিটি বেজড মেডিকেল কলেজ বাংলাদেশের অর্থোপেডিক সার্জারি বিভাগের আর এস ডাক্তার সাব্বির হাসান আশিক (আমাদের মেডিক্যাল এর সি বি 09 ব্যাচের প্রাণ প্রিয় বন্ধু Sabbir Hasan Ashik এর প্রাণ প্রিয় মা ) এর মাতা আজ সকালে ইন্তেকাল করেছেন ||
ইন্নালিল্লাহি ওয়া ইন্না ইলাইহি রজিউন, আল্লাহ তায়ালা উনাকে যেন জান্নাতুল ফেরদাউস এর উচ্চতর স্থান নসিব করেন এবং তার শোকসন্তপ্ত পরিবারকে ধৈর্য ধরার তৌফিক দান করেন, আমিন ||

03/11/2025

30/10/2025

HTN management according to AHA 2025 guideline

29/10/2025

Thanks for being a top engager and making it on to my weekly engagement list! 🎉

May Thazan Wan, Molla Saiful Islam, Sozol Munshe, Abdus Samad, Rudmila Rahman Tuba