Bilateral neck multiple echogenic nodules chest tightness may be caused by goiter, if hypoechoic nodules may be lymph node enlargement or thyroid nodules, it is recommended to pay attention to rest, choose surgical resection or radiofrequency ablation and other treatments. 1. Surgical excision: Bilateral multiple echogenic nodules in the neck are described by ultrasound of the thyroid gland in the neck, which suggests that there are nodules in the thyroid gland bilaterally. When the nodules grow gradually and press on the neighboring tissues, the patient may have chest tightness, and surgical excision of the nodules is needed to relieve the pressure and relieve the symptoms. 2. Radiofrequency ablation: Under the image guidance, through interventional therapy, the thyroid nodules will be ablated accurately and the normal function of the organ will be restored. If you have bilateral cervical echogenic nodules with chest tightness, it is recommended that you consult a doctor in time and listen to professional advice.