Thyroid nodules with an aspect ratio greater than one are also a possibility of benign tumors. In thyroid ultrasonography, the physician will usually use the characteristics of thyroid nodules to make a preliminary judgment on the likelihood of malignancy of the lesion. The main indicators include echo intensity, morphology, margins, blood flow, and aspect ratio. A thyroid nodule with an aspect ratio greater than one is only one of the indicators of malignancy. The likelihood of malignancy increases with the presence of the corresponding condition, but there are still some nodules that are benign tumors. Clinical findings of thyroid nodules with aspect ratio greater than one and other signs of malignancy, want to further determine the nature of the specific tumor, need to be determined by puncture biopsy, after the diagnosis of pathological conditions, need to be standardized treatment under the guidance of the clinician.