Thyroid nodules are diagnosed with an increasing frequency. Anytime there is a diagnostic test performed, such MRI of cervical spine, CT scan of neck or chest, carotid Doppler, etc., incidental thyroid nodules are reported. The incidence of finding a thyroid nodule can be up to 30% in general population. The next step is evaluation by a head and neck surgeon with investigations which include ultrasound of the thyroid and thyroid function test. Depending on the size, character of the nodule and risk factors, ultrasound guided biopsy is done for cytology evaluation. Thankfully majority of the thyroid nodules are benign and require no treatment.