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Nail injury can happen because you have: Poor-fitting or tight shoes, which often cause discoloration (usually brown) of part or all of your fourth or fifth toenail Nail-biting habit or compulsive nail biting (onychophagia), which usually forms diffuse or longitudinal grey bands Nail bed injury from work Compulsive picking or pulling on your nails (onychotillomania) Skin conditions Some skin conditions can activate the melanin cells in your nails because of inflammation
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The American College of Radiology’s TI-RADS assigns points to thyroid nodules based on five features: Composition (how “cystic” a thyroid looks) Echogenicity (the ability to bounce back an echo during an ultrasound exam) Shape (wider-than-tall, or taller-than-wide) Margin (how far the thyroid extends around surrounding organs) Echogenic focus (bright spots or shadows seen on an ultrasound) Based on that ratings scale, nodules are then classified as: Benign (non-cancerous) Not suspicious Mildly, moderately, or highly suspicious 5
