To summarize the clinical, ultrasonographic (US) and pathological characteristics of Warthin-like variant papillarythyroid carcinomas (WVPTC). Medical records and US images of 32 cases of WVPTCs diagnosedbetween December, 2006 and September, 2018 were reviewed. Clinical, pathological and US characteristics of thesecases were collected and summarized. ACR TI-RADS was followed during the analysis of the US features of the lesions.Results: Totally, 32 patients with 33 WVPTC nodules were reviewed. WVPTC was more often seen in female patients(27/32,84.4%) with a relatively high age (mean age, 51.0±10.8 years old). Hyperthyroidism was observed in 14 patients;2 patients were diagnosed as subclinical hyperthyroidism and 1 patient as subclinical hypothyroidism. Abnormal thyroglobulinantibody was detected in 22 patients. Mean size of the nodule was 1.2±0.5 cm (range, 0.5~2.99 cm) on US. Pathologically, tumormargin of 63.6% carcinomas were infiltrative but most (72.9%) of the enrolled carcinomas were intra-thyroidal. Lymphocyticthyroiditis was detected in 87.5% (28/32) patients. On US, most WVPTCs were solid or almost complete solid (32/33,97.0%) and very hypoechoic (26/33, 78.8%). Taller-than-wide shape (6/33, 18.2%) and punctate echogenic foci (9/33, 27.3%)were not popular. All the nodules were scored higher than 5 points according to the ACR TI-RADS, including 9 nodules that were classified into TR4 and 24 nodules as TR5. Follow-up information was available in 31 patients and no recurrence ordistal metastasis was detected. WVPTC is a rare variant of PTCs with favorable outcomes. Very hypoechoicechogenicity, solid or almost complete solid composition are the vital indicators for biopsy, even though the nodule may bewider-than-tall and have a lack of punctuate echoic foci.