Patient presents with a palpable right thyroid nodule.  Chief complaint includes right neck swelling or fullness, with possible associated symptoms such as dysphagia, dysphonia, or neck pain.  On physical examination, a discrete, firm nodule is palpated within the right lobe of the thyroid gland.  Nodule size is estimated to be [size] cm.  The nodule is [mobile/fixed] and [tender/nontender].  Lymphadenopathy is [present/absent] in the cervical region.  Patient denies fever, chills, weight loss, or heat intolerance.  Thyroid function tests, including TSH, free T4, and free T3, are ordered to evaluate thyroid function.  Thyroid ultrasound is scheduled to assess nodule characteristics, including size, shape, composition, and vascularity.  Fine needle aspiration biopsy is considered for further cytological evaluation based on ultrasound findings and risk stratification according to the American Thyroid Association guidelines for the management of thyroid nodules and differentiated thyroid cancer.  Differential diagnosis includes benign thyroid adenoma, thyroid cyst, Hashimoto's thyroiditis, multinodular goiter, and thyroid cancer.  Plan is to monitor nodule growth, evaluate thyroid function, and proceed with further diagnostic testing as indicated.  Patient education provided regarding thyroid nodule evaluation, including the importance of follow-up and potential treatment options.  ICD-10 code D34.0, right thyroid nodule, is documented.  CPT codes for evaluation and management services, thyroid ultrasound, and fine needle aspiration biopsy will be documented upon completion of those procedures.  Medical decision making is of [low/moderate/high] complexity based on the patient's presentation and diagnostic workup.