Doctor insights on:
Hypoechoic Lymph Node
Left lateral neck hypoechoic lymph node 18x24mm. Hyperaemic with effacement of fatty hilum. What exactly does this mean? Thanks
A completely normal lymph node will be less than 15mm and have a fatty center. When it enlarges and loses the fatty portion with increased blood flow (hyperemic), it should be sampled with a needle to make sure there is no infection or malignancy within it.
More specific advice @ healthtap. Com/saurbornmd Click Send Message to begin. ...Read more
Does a hypoechoic lymph node with size 8.4mm*2.9mm considered enlarge? I often use my hand to prod it. Will this action aggravate it?
In most: Instances that size wouldn't be considered enlarged. However, there are other features (e.g. morphology/shape) that are also important in determining whether a lymph node looks abnormal on ultrasound. Talk to your doc about it. ...Read more
My husband got an abdomenal ultrasound done, the report says porta hepatis 16x6mm hypoechoic lymph node found. What are the possible diagnosis?
Lymph nodes: It all depends on what is being looked for. A lymph node that measure over 10mm in one direction is considered abnormal, but it has to correlate with a disease being sought. You both, can talk to the doctor to find out the consideration he was making when the ultrasound was ordered. ...Read more
Slow growing painless mass on neck (7 mo), US shows 2.0 cm hypoechoic lymph node, looks benign. CBC normal. 99.5-100.5 temp. Should we biopsy?
If its growing: In size, I would have it biopsied. ...Read more
Got my son's abdomen and pelvis sonography done. The report says few centimeter hypoechoic lymph nodes found. What does it mean?
0.9 CM hypoechoic lymph node, left cervical neck. Diffusly enlarged pal. Tonsils. New swelling dr thinks thyroid? Opinion?
LN/ tonsils: Where is the swelling? How did the thyroid look like on imaging? What are thyroid functions/antibodis? The LN could be from the tonsils. Are you having a sore throat? strep? Mononucleosis? ear infection? allergies? If your throat /allergies symptoms resolve over the next month or 2 and the LN does not then consider a LN biopsy, or thyroid biopsy if there are thyroid nodules. Discuss with doc ...Read more
Meaning of Thyroid U/S showed solid nodule 1.0 x 1.1 x 1.6 CM containing mild peripheral vascularity w/o calcification & rounded hypoechoic lymph node?
Probably nothing: But you need a fine needle aspiration ...Read more
Ultrasonography itself cannot distinguish benign from malignant lesions, but an
echographic appearance suggests malignancy and helps in the selection of the node to aspirate with
ultrasonographically guided fnab, which is crucial for a final diagnosis.
You need to have the node sampled with a needle to know if it is benign or otherwise. Talk to your physician. ...Read more
Echo character: Tells very little. It is usually used to aid in finding the node to perform an aspiration. Hypechoic zone can indicate solid or fluid filled space. Size would help, but only cells, and in lymphoma, perhaps an excisional biopsy and test for gene re-arrangements would help. ...Read more
Hi what means a hypoechoic elongated lymph node in my neck. And a prominent lymph node with loss of tbe normal fatty hilum. That means have malignan?
Biopsy: In order for a lymph node to be diagnosed as malignant, a biopsy would be necessary. ...Read more
Well defined, 1.2cm solid hypoechoic cervical lymph node with eccentric fatty hilum duration of 5 months. History of cardiac paraganglioma. Is it cbt?
Probably not: Paraganglioma are uncommon tumors of the paraganglia system, used to control blood oxygen levels. Cardiac paraganglia are very rare. The lymph node you describe is only slightly enlarged, and so is unlikely to represent metastatic disease. A scintigraphy (sestamibi or fdg) study is better able to detect metastatic disease. ...Read more
What really does it mean to have: "portal hepatic hypoechoic structure lymph nodes in sizes 2.5 cm, 1.5 CM and 1.7cm"?
Something is wrong: Those are large lymph nodes (we use <1 cm in most areas for normal). Without knowing your history, it could mean many things, ranging from infection to more serious issues. You need to speak to your gi, and/or primary doctor. ...Read more
Hi my 2yr old baby has A well defined hypoechoic nodule likely lymph node measuring 9.4*4.7 mm is seen in sub mantle region what is possible diagnosis?
Needs follow up.: Most common cause is infection. Needs to be followed by a physician until it resolves. ...Read more
Left level 3 station, there is a hypoechoic mildly enlarged lymph node with loss of an echogenic fatty hila measurin 1.8 x 1.0 x 1.8 cm Is this cancer?
Cancer?: Only a biopsy can tell. What did it show? ...Read more
1.3 cm ovoid hypoechoic abnormal likely lymph node-non specific-could be reactive. Could perform CT? Should I be concerned? Possibly cancer sign?
Lymph node?: While it could be fine, the term "abnormal" is generally not comforting. If it's readily accessible, it should be removed and sent to a lab for formal pathological analysis. ...Read more
Had sono of neck, level 5 perform found a subcutaneous hypoechoic nodule consist w/ lymph node meas 1.1 x 0.2 x 0.9 C.M. Fatty hilum observe? What mea
Ultrsnd of sprclvicular lymph node shows. 8x.4x.6cm hypoechoic oval structure w/ a slight area of inhomogeneous echogenicity along 1 side. Is this bad?
Should I be concerned. I have 2 hypoechoic solid exophytic nodules with increased blood flow 1.5-1 CM &isthmus is 8 mm &small submandibular lymph node?
Need followup: Sounds like you need additional followup. If these are thyroid nodules then the next thing to know would be if they are functional (producing thyroid hormone) or not, that is usually done with a nuclear medicine scan. Also, a biopsy may be necessary. I wouldn't lose sleep over it, but certainly don't ignore it. Call the doctor who ordered this test and follow up. ...Read more
Ultrasound says hypoechoic mass with essentric fatty hilum favoring an enlarged lymph node on left side of neck. What does that mean?
Probably benign node: When a mass is palpated in the neck it is usually abnormal and suggests a new, possibly metastatic lesion requiring bx and then therapy. If a hypoechoic mass is noted this is a solid lesion and with above description is a lymph node that is characterized by the fatty hilum. If lesion enlarges bx needed unless a primary lesion defined that may be causing nodal enlargement. Therapy then needed ...Read more
What is the relationship between:Wall hypoechoic nodule at lower of the superficial lobe right parotid:6.6mm and right submandibular lymph node:7mm?
Unclear: Unclear from information provided. You need to see an ENT doc for exam and options. ...Read more
Is this a lymph node or breast tissue: circumscribed hypoechoic mass with central hyperechoic focus measuring 10x8x7mm in right axilla...?
Need follow up: By your doctor, if it is in axilla it is most likely a lymph node, (where they are supposed to be and normal) some times breast tissue will have lymph nodes which need closes follow up, to rule out it is not some thing serious, go to your doctor for regular follow up. ...Read more
What is "Normal": Lymphatic system absorbs/carries things too big to go into the arteries/veins lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They come in all sizes from pea to lima bean. The are not usually easily felt. ...Read more
Monitoring Centers: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more
Huge numbers: The lymphatic system absorbs and carries things too big to go into the arteries and veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph to see if anything bad is there like bacteria, viruses, cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. There are many, many of them so missing even a few will not cause problems. ...Read more
Many Causes: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more
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