Hello doctor, I had a CT scan done for suspected lymphoma because of high CRP, ESR, WBC, night sweats, and intermittent fever. It was found that there was a mass next to my trachea apart from the thyroid gland and they recommended that I have an ultrasound. Can you please review my ultrasound?
Hi. I have reviewed the ultrasound images of neck provided by you (attachment removed to protect patient identity). There is a well defined hypoechoic nodule of size 1.8x1.4x0.6cm in left lateral neck with preserved central hilum- highly likely to be an enlarged cervical lymph node. No vascularity noted in it on color doppler. Rest of the left lateral neck is normal. Right lateral neck appears normal. Both lobes of thyroid appear normal. Neck vessels in 2D appear normal. Color doppler of vessels not provided. Isthmus is normal.  P.S. Ultrasound is not the modality of choice to comment on trachea and lesions associated with it. This nodule is oval in shape, has a preserved central hilum and does not show any hilar or peripheral vascularity on color doppler. These features point towards its benign nature. However, in light of the disease being investigated, FNAC of the nodule is suggested.