Cervical Lymphadenopathy | Normal Thyroid Gland | Ultrasound Cervical Lymph Node

Thyroid Gland
Both Gland within normal size shape and echogenicity. No focal lesion is seen.

Thyroid parenchyma shows are fine, homogeneous, and hyperechoic (bright) compared to the adjacent muscles.

Color doppler shows normal vascularity.

There are multiple enlargeoic lymph node in the upper cervical, middle cervical, parotid, posterior triangle and supraclavicular region of the right side of the neck.

The larger two in the posterior triangle and supraclavicular region measuring 1.96cm and 1.73cm.

There is also few enlarge lymph node in the left middle cervical region.

Impresssion:
Bilateral cervical lymphadenopathy, more in the right side.

Most normal and inflammatory cervical lymph nodes have a flattened, elongated, oval shape, with the greatest dimension in the longitudinal axis

The likelihood of malignancy increases in direct relation to the anteroposterior dimension of the node.

In case of malignancy the anteroposterior dimension of a cervical lymph node exceeds half the length of the node.

Color-flow Doppler increase flow in malignant cervical nodes.


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