Thyroid nodules represent a significant diagnostic challenge, which is mainly due to the necessity of accuracy and adequate therapy. Recently, ultrasound elastography has emerged as a breakthrough in this field. Among elastography, acoustic radiation force impulse imaging has indicated that it might be a valuable method for imaging. While keeping in mind the comprehensive analysis of the ARFI technique`s efficacy and reliability in the evaluation of thyroid nodules, this research paper will go into a detailed review of the literature, a description of the methods utilized, results, and discussion. The report highlights the unsolved gaps and provides the answers to the needed future strategies, research, and practice.