<prompt> A 45 year old male presents with 4 X 4 cm, mobile right solitary thyroid nodule of 5 months duration. The patient is euthyroid. The following statements about his management are true exceptCold nodule on thyroid scan is diagnostic of malignancyFNAC is required in fuher management of patientThe patient should undergo hemithyroidectomy if FNAC repo is inconclusiveIndirect laryngoscopy should be done in the preoperative period to assess mobility of vocal cords  <response>: Malignancy is present in 15 to 20 of cold nodules and in less than 5 of hot nodules. Although suggestive, malignancy of a nodule can be neither confirmed nor excluded based on radionuclide uptake. Note :Option Patient should undergo hemithyroidectomy if FNAC repo is inconclusive is controversial. Close surveillance with ultrasound, genetic and molecular testing or other alternatives to diagnostic thyroidectomy. Even after diagnostic thyroidectomy, patient still requires survelliance for other lobe or may require total thyroidectomy if biopsy proves malignancy. 