Top
30
Doctor insights on: What Will Ultrasound Show With Neck Node

Share
1

1
What can ultrasound of neck lymph nodes show?

What can ultrasound of neck lymph nodes show?

Normal lymph nodes: Have a kidney bean appearance with fat in the central part of the node. This configuration usually persists when nodes are enlarged by a benign inflammatory response. Nodes involved with cancer cells often loose the central fat, enlarge asymmetrically, have an irregular outer surface, and show increased blood flow in the outer surface of the node. ...Read more

Dr. Michael Gabor
2,275 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


2

2
I did a neck ultrasound and on the report is show: "largest lymph node 1.4 cm", impression: "lymph nodes normal size". How can it be normal size?

I did a neck ultrasound and on the report is show: "largest lymph node 1.4 cm", impression: "lymph nodes normal size". How can it be normal size?

The size: Of the lymph node is not the only factor in deciding whether a lymph node is abnormal. The shape of the lymph node, the vascularity, and the cortex thickness are all important in helping to determine whether it is abnormal. That said, a 1.4cm (long axis diameter) neck lymph node would be considered within normal range assuming the other features are also normal. ...Read more

3

3
Diagnosed with me 18 months ago. Clear blood tests. Ultrasound of neck shows several lymph nodes but all under 1cm. Is this ok or could it be lymphoma?

Diagnosed with me 18 months ago. Clear blood tests. Ultrasound of neck shows several lymph nodes but all under 1cm. Is this ok or could it be lymphoma?

< 1 cm SA = good: Lymph nodes with short axis measurements of less than 1 cm are not, technically, considered adenopathy, although widespread early metastatic disease cannot be excluded (would require a pet scan). The lack of anything else worrisome per history is reassuring. I don't know what "me" is, but ultrasound surveillance of the neck nodes in 4-6 months to ensure stability would be helpful. ...Read more

4

4
What could cause only the lymph nodes on the left side of my neck to be swollen (2cm) and have a tender feeling especially to touch, that an ultrasound won't show?

What could cause only the lymph nodes on the left side of my neck to be swollen (2cm) and have a tender feeling especially to touch, that an ultrasound won't show?

Enlarged neck node: Although infection in sinus and throat can lead to enlarged neck nodes, biopsied will be needed if it persists to rule out lymphoma and other head and neck malignancy. ...Read more

6

6
What does ultrasound show in assessing swollen lymph nodes in my neck?

What does ultrasound show in assessing swollen lymph nodes in my neck?

Size Characteristics: The exam will show the size and evaluate if the normal architecture of the lymph nodes has been preserved or disrupted. The thyroid will probably be examined to check for any evidence of tumor. ...Read more

7

7
Ultrasound shows small reactive lymph node in neck which has been there 15 weeks+ bloods are normal and I have been refered to ENT. Worry?

Ultrasound shows small reactive lymph node in neck which has been there 15 weeks+ bloods are normal and I have been refered to ENT. Worry?

Don't worry too much: There is a network of lymph nodes in the head/ neck region. When you have a cold or upper respiratory infection, sometimes they become more prominent. They usually go back to normal in time. Sometimes they don't. If they stay enlarged, then it's worth taking a closer look by having one removed and tested. Most times they are just chronic inflammation, but it can be infection or rarely cancer. ...Read more

8

8
I've been experiencing the nodes under my jaw and neck swelling up and down. Chewing and the icy weather seems to trigger it. Ultrasound shows nothing?

I've been experiencing the nodes under my jaw and neck swelling up and down. Chewing and the icy weather seems to trigger it. Ultrasound shows nothing?

Need more info: What is your question? I need more information to offer any perspective. Have you had a recent cold? How is the health of your gums and teeth? Any throat infection? Any problems in the ears? What is your tuberculosis status? Have you had a complete blood count? Please feel free to schedule a full consult with a physician for a full evaluation. ...Read more

10

10
My nuchal ultrasound shows the measurement at 2.1mm of the neck at 13w 2d. Is this bad?

My nuchal ultrasound shows the measurement at 2.1mm of the neck at 13w 2d. Is this bad?

No: St this gestational age, an increased risk of trisomy is not seen until the neck fold thickness is near 3mm ...Read more

11

11
What does a soft tissue ultrasound of the head and neck show?

What does a soft tissue ultrasound of the head and neck show?

Abnormal: Masses such as tumors, cysts, abscesses, or enlarged lymph nodes. Can show inflammatory changes of regional structures such as salivary glands. ...Read more

12

12
Had my 36 week ultrasound and it shows babys cord wrapped around neck with a. 67 resistence index also a grade 3 placenta. How dangerous is this?

Snapshot in time: This just means you need to be in close contact. If babies been growing nl this should be ok. I've had healthy infants with up to 5 neck wraps or 2 true knots. They are worrisome and suggest the child may not do well in labor with the increased stress.A c-section delivery is more likely and an early trip to the l&d area anytime you think you are having contractions is worth considering. ...Read more

14

14
Lump right side of neck. Ultrasound report rec. CT, CT normal. Valsalva maneuver shows slightly larger IJV on that side. No other symptoms. What next?

See ENT doctor: You must have seen at least one doctor if you have had those tests. As the problem is still there and unresolved, see an ENT specialist for his/her evaluation ...Read more

17

17
Ultrasound show spots on thyroid and liver, should I be concerned?

Ultrasound show spots on thyroid and liver, should I be concerned?

Depends: It depends on the characteristics of the "spots". Were the thyroid lesions described as cysts or nodules. Did they have microcalcification? Liver "spots" could be anything from benign hemangioma to cancer. So more detail is necessary. You can send me the report privately if you like. ...Read more

18

18
Ultrasound shows solid mass on throat, What could this be?

Ultrasound shows solid mass on throat, What could this be?

Depends on where: From the point of view of anatomy where exactly it is will determine what it may be. Certainly a large lymph node may be a good thought. So it depends on what the doctor reading the study says compared to the throat. Best talk to you doctor. Also a CT may be needed to really see what is going on. ...Read more

19

19
Would hashmitos or graves disease show up on a thyroid ultrasound?

Would hashmitos or graves disease show up on a thyroid ultrasound?

Maybe: Hashimoto's disease is auto immune thyroiditis. It is diagnosed clinically and by thyroid auto antibodies such as antithyroglobulin antibodies and antithythroid microsomal antibodies. It may be inferred on a ultrasound. Hyperthyroidism is diagnosed clinically, by lab. And by a 24 hour RAI23 uptake and scan. ...Read more

20

20
Thyroid ultrasound shows heterogenous hypervascular echogenicity. No nodules. Thyroid labs were normal. Any ideas on what this is?

Thyroid ultrasound shows heterogenous hypervascular echogenicity. No nodules. Thyroid labs were normal. Any ideas on what this is?

What thyoid labs?: There are many thyroid labs and most docs do not check enough of them? This ultrasound is consistent with grave's disease and thyroiditis. With grave's standard thyroid tests would usually be abnormal but might look ok with thyroiditis. Please make sure anti-thyroid antibodies (anti-tpo and anti-thyroglobulin) have been checked, as well as free t3 (liothyronine) and reverse t3 (liothyronine). ...Read more

21

21
Ultrasound shows that I have large solid nodules in right and left thyroid lobes. Hypoechoic and heterogenous. Isthmus measures 7mm, is it malignant?

Thyroid nodules: Can't say for sure, but in a multinodular gland, unless one particular nodule is "dominant" or stands out because of suspicious features, they are presumed benign. Sometimes a nuclear medicine thyroid scan will identify a particular nodule to biopsy if it is "cold" on the scan ...Read more

23

23
I recently had an ultrasound done on my thyroid as I have a goiter. The ultrasound shows that there is a 3 mm nodule in the midpole right thyroid. There is a nodule in the midpole of the left thyroid measuring 12 x 10 x 11 mm. It contains a few punctate c

Need a biopsy: I would not be concerned about the 3 mm nodule but you should have the doctor who ordered the ultrasound refer you to someone who could do a fine needle biopsy on the larger one. If there are calcifications the risk of malignancy goes up but nodules of 12 mm are often benign and the biopsy could then reassure you ...Read more

24

24
Does medullary thryroid carcinoma will show anything on an ultrasound? Nodules or tumor will be visible? Can it be present in a normal looking thyroid

Does medullary thryroid carcinoma will show anything on an ultrasound? Nodules or tumor will be visible? Can it be present in a normal looking thyroid

Resolution of U/S: Hi. Like all imaging modalities, there is a limit to what you can see with U/S looking at the thyroid. All cancers begin as a single cell gone bad that clonal expands (bear in mind possibility of multiple independent foci of MTC such as in MEN2's and FMTC), so at some point in their infancy, all MTC cancers are below the limit of resolution on U/S. Once nodules are biopsiable, FNA helps evaluate. ...Read more

25

25
Will medullary thyroid cancer always show in a thyroid ultrasound? If not how do they find it?

Will medullary thyroid cancer always show in a thyroid ultrasound? If not how do they find it?

Thyroid cancer: Hello. Unfortunately cancer of the thyroid will not show up on an ultrasound. A nodule or a growth in the thyroid can be seen and identified. A tissue or needle biopsy is needed to examine the cells for cancer. An excisional biopsy if needed will provide the pathologist the entire gland which then will be examined and a diagnosis rendered. ...Read more

26

26
I had a thyroid ultrasound done and it shows I have a new thyroid nodule that is 1.2cm. Previous one was 4mm now 6mm. Any concern?

Yes: Enlarging nodule needs clarification, by needle biopsy or excision likely.
If clearly a cyst, may be followed, but thyroid blood chemical testing may lead to taking thyroid as a suppressant.
Multinodular may be goiter.
Nevertheless clarity is important and treatment can be guided. ...Read more

27

27
I want to know what a lump is on my throat is but it doesn't show up on ultrasound. What kinds of lumps cannot be seen on ultrasound imaging?

I want to know what a lump is on my throat is but it doesn't show up on ultrasound. What kinds of lumps cannot be seen on ultrasound imaging?

Globus: Globus hystericus, or globus pharyngitis, is a sensation of a lump in the throat, with no pathology. If there is no pain, and swallowing is normal, then it's probably globus. If you have a palpable neck lump, or pain, or abnomal swallowing, then there is something wrong and you should see an ENT doctor. ...Read more

28

28
Thyroid biopsy six months ago revealed benign nodules. Recent ultrasound shows changes to nodules and now need to be rebiopsied. How likely to be b?

Thyroid biopsy six months ago revealed benign nodules. Recent ultrasound shows changes to nodules and now need to be rebiopsied. How likely to be b?

Not very likely: The majority of thyroid nodules are not cancerous. Only 5-10% actually turnout to be cancer. If nodules have suspicious findings or grow above a certain amount the risk increases. If first biopsy is inconclusive risk increases to about 15-20%. If significant changes are noted then repeat biopsy is the best. But keep in mind if turns out to be something, thyroid cancer is very easily treated. ...Read more

29

29
Ultrasound shows 7 nodules; blood work is normal. History of thyroid cancer in family. Dr. Says wait a year and recheck. Good advice? Get 2nd opinion?

Ultrasound shows 7 nodules; blood work is normal. History of thyroid cancer in family. Dr. Says wait a year and recheck. Good advice? Get 2nd opinion?

Sounds Ok: Annual re-examination is usually fine, and if any of the nodules reveal 15-20% growth, sampling with a needle (biopsy) can be considered at that time. ...Read more

30

30
Hypothyroidism with goiter and hear gurgling noise from my thyroid. Should I be concerned. Last ultrasound show slow nodule growth?

Hypothyroidism with goiter and hear gurgling noise from my thyroid. Should I be concerned. Last ultrasound show slow nodule growth?

Yes if enlarging: If goitor gets bigger and this does not resolve within 2 weeks get another u/s and see endocrinologist for labs and possible fine needle aspiration biopsy, if it is cancer, if caught early it is bets chance, could be pressing on blood vessel causing the sounds, but very unusual this sound so get tested ...Read more