Introduction: Thyroid lesions are of great importance because most are amenable to Medical or Surgical management. The Medical diagnosis of Thyroid lesions is crucial as Malignancy necessitates Surgery while follow-up is important just in case of Benign lesions. The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) was introduced in 2007 to standardize terminology utilized in reporting thyroid cytology.