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Ultrasound procedure doubt
Dear doctor, I have a query on the ultrasound of neck. I can feel movable lymph nodes on either sides of back neck but in the ultrasound scan, the report says no significantly enlarged lymph nodes in the neck found. Recently, I feel pain around the lymph node and neck area.
During the scan procedure, the radiologist moved the transducer in the sides of the neck but not till the back of neck. My doubt is, if all the palpable lymph nodes would be captured during ultrasound procedure even if the transducer is not moved till back of neck. Request you to please clarify my doubt. Have attached x ray which was taken for neck pain.
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Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult.
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I don't want to go into whether the probe should be moved around the neck, or, what you are feeling in the back of the neck area really lymphnodes or sebaceous cyst.
If you can nicely feel those swellings then surely your Clinician will also be able to feel/see those lumps.
Please bid for getting FNAC from one of those lumps. You can discuss with your Clinician Doctor or your Pathologist.
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It’s not very common to miss enlarged lymph node in usg. Anyway thorough clinical examination is necessary to rule out posterior neck masses which can be sometimes missed on usg neck..!
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Dr. Oliyath Ali
ENT/ Otorhinolaryngologist
8 yrs exp
Delhi
X ray will not pick soft tissue lesions like enlarged lymph nodes. The ultrasound probe needs to to moved/ applied over the area where u feel the palpable nodes to pick up the nodes. U can get a repeat ultrasound and specifically tell the sonologist to image the area where u feel the nodes are.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.