 [ Symptoms ] multiple nodules now larger and hypoectoic [ Disease ] as per your complain as there are a number of problems associated and one symptom can exaggerate the other therefore my suggestion is that you should consult an ent surgeon and get evaluated and you can opt for endoscopic ainus surgery along with septoplasty for the deviated septum and meditation like a course of antibiotics anti inflammatory painkillers decongestants steroid inhalation can help wish you a better health regards