question: Hello doctor, I have Hashimoto's thyroiditis and I felt like a lump in my lower throat. The doctor did a physical examination and noticed two nodules and sent me for an ultrasound. The result came back that the thyroid as a whole was hyperemic and heterotrophic in the background appearance. The left lobe contained two nodules for which he then sent me to an ENT to do an FNB. Right now, usual symptoms of hypothyroidism are present like extreme fatigue, dry hair. But in the last couple of weeks, I have not been able to sleep on my back or side or put my chin down as it feels like the air is restricted. My question is, what does this sound typical of thyroid cancer or a goiter? I am not an over reactor, I just wish I had more information or know the prognosis of cases that were similar to mine. Does this sound at a higher risk of cancer or more like a goiter? and if I am already on thyroid medication, what can they do to treat it?