Benign thyroid nodule is a common disease. However, little is known about the natural course of it. The objective of the study was to evaluate the changes of ultrasonographic (US) findings and the fine needle aspiration (FNA) cytology. During 2 years, most of them have been in a benign natural course. However, we should note that malignant US findings is strongly associated with papillary thryoid carcinoma, though FNA revealed benign. Among them, our results would suggest that taller than wide feature in US finding is associated with malignancy