Objective To explore the ultrasound diagnostic value in focal hashimoto thyroiditis (FHT). Methods Gray-scale and color Doppler flow images (CDFI) of 15 FHT patients confirmed by surgery pathology were retrospectively analyzed. Results Fifteen single lesions in the thyroids of 15 FTH patients were detected by gray-scale ultrasound scan. The around parenchyma was well-distributed. Ele-ven(73. 3% ) of 15 lesions were of well-defined margin. Twelve(80% ) of 15 lesions were regular and 12 (80% ) lesions were hypoechoic. Eight lesions with uneven echogenicity were like the "map" and were of no significant occupation effect. Hyperechoic calcification was detected in 2(13. 3% ) lesions. Extremely abundant blood flow sign as "focal inferno" was showed in CDFIs of 4(26.7% ) lesions. Ten(66. 7% ) of 15 lesions showed mildly abundant blood flow sign and 1 (6. 7% ) lesion had no blood flow sign. Conclusion The FHT has characterized ultrasound appearance and ultrasound is helpful to the clinical diagnosis of FHT.