Ultrasound tech. enlarged cervical lymph node x 2 years. slight increase in size. no normal hilum. peripheral vascularity. normal ct with contrast. ??

Biopsy: Although the size of lymph nodes can fluctuate (especially in the cervical or submandibular region), a chronically enlarged lymph node that is not related to an acute illness with or without features such as tenderness, hard consistency and mobility should be investigated further. Imaging is most of the time unrevealing and a biopsy is warranted to establish a diagnosis and/or reassure.