I was diagnosed 3 years ago with a multinodule goiter, but now my endo is sending me to a surgeon because my thyroud has grown, isthmus 8mm up from 3, and I now have a new 3 mm hypoechoic nodule in th posterior aspect of the lower pole of the right lobe. he ordered the ct because I am having trouble swollowing, constantly sick and fatigue is worsening dispite levothyroxine. my wbc are high, neutrophils low and lymphocytes high, should i be concerned?