My thyroid uptake scan showed a cold nodule but tsh is normal. will it need to be removed? it's taking long to see an endo and lab rec''s fna.

Needs FNA: Typically you will undergo fna first. Correlation with ultrasonography is important as well as other lab tests including antibody testing.

Depends: Next step would usually be a thyroid ultrasound and fna. If the, "nodule" is a simple cyst (colloid cyst) then it will likely be aspirated, if a solid nodule it would be biopsied. Most of the time a solid nodule will be negative for malignancy. If positive for malignancy, surgical removal would be the norm.