Soru

During a routine wellness examination, a $54$-year-old woman is found to have an asymmetric thyroid gland. She reports feeling generally well, though she notes a mild increase in anxiety and occasional loose stools over the past two months. Her heart rate is $92/min$ and blood pressure is $128/78$ $mmHg$. Physical examination reveals a non-tender, mobile, $2.8$ cm nodule in the right lobe of the thyroid gland. There is no palpable cervical lymphadenopathy. Laboratory testing reveals:

Thyroid-stimulating hormone (TSH): $0.04$ $\mu U/mL$ (normal: $0.4-4.0$ $\mu U/mL$)
Free thyroxine (T4): $2.1$ $ng/dL$ (normal: $0.9-1.7$ $ng/dL$)

A neck ultrasound confirms a $2.8$ cm solid, hypoechoic right-sided thyroid nodule with increased internal vascularity. Which of the following is the most appropriate next step in the management of this patient?