Watch both: do not remove or try to biopsy second nodule but repeat CAT scans to assure 2nd lesion not growing. Most of the cases of 2 nodules result in appearance of a 3rd or 4th nodule as part of multi nodular goiter. If dramatic increase in size such a 2x in the next 4-6 months would consider open bx or excision and then treat accordingly.
Answered 6/19/2020
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