Nodules in left side of Neck and tender to touch .

I was having pain in neck and nodule was tender to touch and pain was spreading towards jaw and ear lobe. Never had theroid. I am 43 years old. I had ultrasound scanning and result are below. Now doctor scheduled for Nuclear Medicine Scan with radioiodine. I am little worried about the result.
THYROID GLAND:
Right Lobe: 1.3 x 1.5 x 4.8 cm, volume 4.9 cc. Normal background echotexture.
Right Lobe Nodules:
1. 0.2 x 0.3 x 0.2 cm cystic, mid pole.
Left Lobe: 2.3 x 2.3 x 4.7 cm, volume 13.0 cc. Normal background echotexture.
Left Lobe Nodules:
1. 1.8 x 2.5 x 4.2 cm, solid, hypoechoic, border deforming, enlarging the left lobe.
2. 0.5 x 0.7 x 0.8 cm, solid, isoechoic/hyperechoic with hypoechoic halo, lower pole.

Isthmus: 0.3 cm AP. Normal background echotexture.
Isthmic Nodules: None.

LYMPH NODES:
No adenopathy demonstrated in the central or lateral compartment.
1. 1.8 x 2.5 x 4.2 cm intermediate suspicion border deforming nodule enlarging the left thyroid lobe for which tissue sampling is recommended.
2. 0.8 cm low suspicion nodule lower pole left thyroid lobe does not meet size threshold for recommendation of tissue sampling.