The report is showing
thyroid nodules. This condition is very common in presence of TPO antibodies. Mostly likely these nodules are not concerning for Tumor/ cancer, given that your antibodies were positive and
TSH is high. However, to definitively exclude presence of cancer, chance of which is very low, almost less than 5 %, fnac or thyroid biopsy is required.
Please consult online to discuss details of your symptoms, because you may require thyroid medications for high TSH