Posted 9/16/2016 3:47 AM (GMT -6)
Since we are not Endocrinologists we can not give you a diagnoses, we can only give you a direction as to where to go.
As you can read in the impression, you have nodules on your gland, in both sides, one of them is quite large at 3.2 cm, you need to see an Endo who in turn might ask for biopsy of the nodules to determine whether some of them are cancerous, in case you have not yet done one.
I know about two types of nodules, one is more likely to turn out cancerous, but you do not have to worry too much since more than 95 % of nodules are benign, but of course the right next step is to consult with an Endo.
Also you need to determine what is the cause for the nodules, most probably it is an auto immunity disease like Hashimoto's or Graves, you should perform full thyroid panel which include TSH, Free T3 and Free T4, in addition to thyroid antibodies which are antiTPOab, TGab and TSIab.
Best of luck,