Loss of central fatty hilum with heterogeneous echotexture

Hi,

These are the reports and finding on my 4year old after a sonogram on a enlarge lymph node on his neck . Can anyone help this worried mum

Radiology Examination Report
Date: 05 Feb 2025
Specialty: Radiology
Location: Accident and Emergency
Clinician: XXXX
Status: Final

Examination: US NeckClinical Details

  • 3 cm lump on the left side of the neck.
  • Discussed with ENT – ultrasound scan (USS) of the neck requested to rule out malignancy.

Report

Thyroid Gland:

  • Normal in size, shape, and echotexture.

Submandibular Glands:

  • Bilaterally normal.

Parotid Glands:

  • Normal in size, shape, and echotexture bilaterally.
  • Multiple small intraparotid lymph nodes noted on both sides.

Right Side:

  • Multiple prominent and a few enlarged lymph nodes in the right cervical chain at levels II, III, IV, and V.
  • Lymph nodes show altered fatty hilum.
  • Largest lymph node measures 16 × 8.8 mm.

Left Side:

  • Multiple enlarged lymph nodes in the left cervical chain at levels II, III, IV, and V.
  • Loss of central fatty hilum with heterogeneous echotexture.
  • Palpable lymph node at level V measures 17 × 6.7 mm.
  • Largest lymph node at level II measures 26 × 10 mm.

Conclusion

  • Bilateral cervical lymphadenopathy, more prominent on the left side.
  • Features suggest possible pathological lymph nodes.
  • Differential diagnosis includes infective/inflammatory aetiology.
  • Recommendation: Tissue diagnosis and follow-up imaging advised.
  • Hello and thanks for your post,

    I am sorry to hear that your son is having investigations.

    Unfortunately it is only your son's doctor who can interpret these results. They are involved in his care and understand the reason why he was having these tests in the first place.

    At Cancer Research UK we also don't have doctors who can give a second opinion or interpret results.

    I do hope that you are able to speak to your son's doctor soon so you know what it all means.

    Best wishes,

    Catherine