Thyroid us shows a englargd right lobe with a 4.7cm x 2.7cm nodule.heterogenous with mixed solid and cystic areas.wider than tall mostly smooth with i'll defined areas.what does it mean if it has increased intranodular and peripheral? lump front neck?

Intranodular refers to the area within the nodule as opposed to the periphery of the nodule. This is both a large & complex thyroid nodule with both & cystic components. In view of these 2 characteristics, I believe surgical removal will be advised. I strongly recommend consulting a head and neck surgeon with expertise in thyroid surgery. Your endocrinologist will also advise you.