Thyroid pathologies are a common occurrence in the day to day practice. However there is no set standardized protocols for reporting and guideline for management of these sometimes incidentally detected thyroid nodules. There are multiple guidelines formulated by various bodies in an attempt to standardize the reporting and ease up the management protocols. Here in this study we compare 2 such important thyroid reporting and data systems- ACR-TIRADS and EU-TIRADS, the similarities and differences of each of the 2 systems.