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Sonography permits investigations which furnish impressive information whose practical benefit for the patient, however, has not been documented so far. The thyroid lends itself extremely well to sonographic study because of its superficial localization. The efficiency of this investigation has also not been elucidated. This study addresses the question of correlation between clinical and sonographic examination. Sonographic imaging did not have a great clinical impact and therapeutic consequences were rarely generated. A definitive diagnosis was usually possible after fine needle aspiration or hormonal analysis. Solitary thyroid nodules are an indication for sonography. Whether sonography is useful in patients with euthyreotic nodular goiter is debatable.