Thyroid gland multiple flaky hypoechoic, clinically common causes are mainly the following situations: a. Thyroid gland malignant tumor, malignant tumor cells can be prompted by multiple hypoechoic nodules under ultrasound examination. At this time, it is recommended that the patient as soon as possible to carry out fine needle puncture to clarify the nature of the lesion of the nodule. If tumor lesions are found, patients are recommended to undergo radical treatment of thyroid cancer plus lymph node dissection as soon as possible. Combined with iodine-131 radiotherapy after surgery, most of the patients can achieve better therapeutic effect. Second, if multiple hypoechoic nodules, consider thyroid cysts, which often suggest benign thyroid lesions. It is recommended that the patient should review the thyroid ultrasound in 2-3 months, and no special treatment is needed for the time being. Third, the thyroid gland multiple hypoechoic nodules, may also be the local tissue proliferation is too fast, due to the lack of sufficient blood flow necrosis, mostly seen in patients with thyroid abscess.