It is now almost ten years that the United Stated of America, England, Italy and Japan had their own reporting system to classify thyroid lesions. Important confusion and uncertainties dominated the "follicular-patterned lesions", a category also known as the "gray zone". Every cytopathologist was using a personal terminology to describe and call lesions made up of a variable admixture of macro- and microfollicular structures. These personal views varied considerably between cytopathologists and generated a great deal of confusion among patients (the cytological report being almost incomprehensible to them), clinicians and even within the same cytopathology community. With the advent of national reporting systems, things changed in a better way and standardized reporting systems became the standard of practice in thyroid cytology. The outcome of the widespread use of standardized diagnostic categories was the reduction of descriptive diagnoses and the improved communication between pathologists, clinicians and patients. In this article we review the major reporting systems, analyze their similarities and differences in the "indeterminate" or "follicular-patterned" diagnostic categories, and when possible, try to assess their performance.