42 year old male with right cervical lymphadenopathy. Evaluate lymph nodes, soft tissue In the right lateral neck at the area of palpation noted by the patient there is a lymph node measuring 1.2 cm x 0.6 cm x 1.1 cm with suggestion of a prominent fatty hilum and central vascularity favoring a reactive etiology. There are multiple additional smaller lymph nodes in the right lateral neck which are benign in appearance. In the left neck there is a prominent lymph node measuring 0.8 cm x 0.4 cm x 2.0 cm which is elongated in contour with prominent fatty hilum and nonspecific heterogeneity of the cortex. Additional smaller benign appearing lymph nodes are also present.
Bilateral lymph nodes as described above felt to be most likely reactive in etiology. 