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04). The positive predictive value (PPV) of GEC remained consistent across ultrasound categories (ATA high suspicion, 64% vs all other ATA categories, 48%;  = .39). The ATA high-suspicion category had higher specificity than a suspicious GEC result (93% vs 51%;   .01). A suspicious GEC result did not increase specificity for the ATA high-suspicion category. The PPV of molecular testing remained consistent across ultrasound risk categories. However, a suspicious GEC result was very likely in ATA high-suspicion nodules and did not impr

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