Thyroid u/s: 3x2x3mm cystic nodule, ill-defined 1.6x0.8x1.0cm hypoechoic nodule r lobe; 6x3x6mm solid, slightly hypoechoic nodule l lobe- next step?

You need a: Biopsy of the largest nodule, and maybe also the smaller ones depending upon the ultrasound findings. Check w/your doctor.

Followup exam: By age 60, about one-half of all people have a thyroid nodule, found either through examination or with imaging. Over 90% of such nodules are benign. Hypoechoic noodules are usually cysts. A complex nodule over one cm. With blood flow should be biopsied. This can be performed by neeedle or core bx. Most nodules are asymptomatic. Follow up us examination in six months suggested.