¿Es normal un tiroides heterogéneo?

Question: I just received my results from my ultrasound of my thyroid and wanted to know if I should be worried or if this is normal.

findings: The thyroid is heterogeneous in echotexture bilaterally.  The right lobe of the thyroid measures 4.4x1.7x1.4 with multiple modules, largest 3 measured: Multiple nodules are identified in the right lobe are as follows: 1) Upper pole, 8x4x6 mm, solid, heterogeneous., 2) Interpolar - 8x4x7mm, cystic 3)Interpolar, 2.2x0.9x1.3 cm, solid with cystic components.

The left lobe of thyroid measures 5.6x1.5x1.7 cm with multiple nodules: Multiple nodules are identified in the left lobe are as follows 1) Upper pole, 5.2x4 mm, cystic with debris Upper pole, 4x3x4 mm, cystic with bright echo 3) lower pole, 3.3x1.9x1.9 cm (may be 2 adjacent nodules), solid , heterogeneous.

The isthmus measures 3mm

impression 1) the thyroid gland is enlarged and heterogeneous in echogenicity. 2) There are indeterminate nodules in both thyroid lobes 3) there are benign cystic nodules in both thyroid lobes.

Please advise if I should be concerned or is my thyroid normal.  Do I need to see a endocrinology or can my family doctor assist?

Thank you