The nodules are small and would no likely cause compressive symptoms. You didn't mention overall overall thyroid size - so if large (diffuse) goiter even with small nodules, could cause symptoms. The lymph node description is unclear, so would need to look closely at ultrasound images. The nodules seem to fall below criteria for FNA based on what you are describing. CT or MRI can help further evaluate compressive symptoms. If you are hoarse, would see ENT otherwise if short of breath only then pulmonary function testing can help sort this out more.
Thank you for your response. I am no longer concerned. To answer your question about overall thyroid size, the report says:
The right lobe measures 4.94 x 1.15 x 1.30 cm; the left lobe measures 4.92 x 1.12 x 1.33cm. The echotexture of the gland is homogenous.
I don't understand how that could be related to goiter size?