Multiple cystic solid nodules in both lobes of the thyroid gland are usually small in size and have no obvious symptoms, so the patient can undergo regular review to observe the condition; if symptoms appear, surgery and other treatments are needed. 1. If the patient has multiple cystic nodules in both lobes of the thyroid gland, the volume is relatively small, and the ultrasound examination reveals that the echoes of the nodules are uniform, the borders are clear, and there are no obvious signs of malignancy. At this time, it is recommended that the patient regularly review the thyroid ultrasound, and always observe the changes of the nodules. If the size of the nodule increases during the review, and symptoms of esophageal and tracheal compression occur, then surgery should be considered to remove the nodule to avoid serious complications such as choking or dysphagia. 2. If the patient has cystic nodules in both lobes of the thyroid gland with other signs of malignancy, the doctor will recommend the patient to undergo pathologic puncture examination if malignancy is highly suspected. If the nodule is determined to be malignant, surgical resection of the nodule is required, along with cervical lymph node dissection to fully assess the extent of lymph node metastasis. In addition, patients with multiple cystic solid nodules in both lobes of the thyroid gland are advised to go to the hospital in time to avoid delay.