Bilobar echogenicity of the thyroid is primarily an imaging description. It may be caused by diffuse toxic goiter, nodular goiter, thyroiditis and so on. It is necessary to clarify the cause of the disease and then treat the cause of the disease. Anti-hyperthyroidism drugs, thyroid hormone drugs, anti-inflammatory drugs and so on can be taken to relieve the disease. 1. Diffuse toxic goiter: It is an organ-specific autoimmune disease. It includes hypermetabolic syndrome, diffuse goiter, eye signs, etc. What the imaging shows is the uneven echogenicity of both lobes of the thyroid gland. Under the guidance of the doctor to take methimazole tablets, propylthiouracil and other anti-hyperthyroidism drugs for relief. 2. Nodular goiter: Most of the patients have a history of simple goiter, and the imaging shows that the echogenicity of the thyroid gland is not uniform in both lobes. According to the thyroid function, if hypothyroidism occurs, thyroid hormone drugs such as levothyroxine sodium tablets can be taken under the guidance of the doctor for relief. 3. Thyroiditis: a heterogeneous group of diseases caused by autoimmune abnormalities, infections, drugs and radiation and other causes of thyroid tissue damage, imaging shows that the thyroid gland bilobar echogenicity is uneven. Aspirin capsules, ibuprofen extended-release tablets and other drugs can be taken for relief. If the thyroid bilobar echogenicity is uneven, the patient should go to the endocrinology department of the hospital in time to find out the cause of the disease, and under the guidance of the doctor for treatment. Do not use drugs privately to cause adverse consequences.