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.