Although inspection and palpation are traditionally used to classify a goiter, the sensitivity and specificity have been rated poorly. This technique has been shown to be imprecise, with relatively high interobserver variation, when evaluating a low to moderate goiter. 1-3 Evaluation of thyroid volume using sonography was reported to be accurate and precise. 4 It is noninvasive, rapid, inexpensive, and without discomfort to the patient and the examiner. It presents a prompt and cost-efficient means of assessing the thyroid gland for the purposes of monitoring the progress of a clinical condition and treatment outcome. 5,6 The use of portable ultrasound equipment has made the use of sonographic evaluations very feasible, even in remote areas. 7 An ultrasound transducer frequency of 6.5 to 10 MHz is desirable for detailed sonographic textural evaluation and volume assessment of the thyroid gland. 4,7,8 A previous study among a Nigerian population used 3.5-MHz transducers with a stand-off pad and therefore have image quality limitations. 9 793859J DMXXX10.