Detected with hashimotos hypothyroidism ,tsh4.67.doc see small nodules.is levothyroxine treatment enough? or need further evaluation/therapy?any risks

Hashimoto's: Hi. Your doc caught your Hashimoto's very early (the "subclinical" stage). I assume the diagnosis of Hash was based on thyroid autoantibodies(?). "Small nodules" need no further evaluation. Your l-thyroxine therapy will prevent you from becoming symptomatic from untreated Hashimoto's. Good luck!

Evaluate nodules: I recommend that the "nodules" be evaluated by real-time ultrasonography performed by a thyroid specialist skilled in risk-stratification of nodules based on current American Thyroid Association guidelines. A fine-needle aspiration biopsy is recommended for any that would be regarded as suspicious.