Slightly prominent lymph nodes bilaterally in the neck, most prominently in the submandibular chain, with the largest on the right measuring approximately 1.7 x 0.9 x 0.8 cm located between the right submandibular gland and the right jugular vein at C3 level and the largest on the left measuring approximately 1.4 x 0.8 x 0.8 cm, likely benign reactive, although clinical correlation is recommended to exclude low-grade leukemia, lymphoma, or other lymphoproliferative disorder, with metastatic adenopathy less likely. Tiny nodular densities just below the inferior tips of the right and left lobes of the thyroid on axial images 60-62 likely represents small lymph nodes rather than bilateral parathyroid adenomas. The thyroid gland appears unremarkable. Bilateral submandibular glands and parotid glands are unremarkable.
For some back story: I have hashimoto's, my wbc on labs was 3.34, I've not recently been virally sick, but I constantly feel very fatigued, weak, and deal with a tremendous amount of brain fog. I do occasionally get some pain in the right side of my neck, just under the jaw bone.
What should I expect from this? Monitoring? Biopsy of enlarged lymph node? Is this normal and I'm making myself worry over nothing? any insight or encouragement would be appreciated.