Brief Answer: Send pus for culture-sensitivity,start antibiotics Detailed Answer: Hello XXXXXXX Thanks for your query. Enlarged lymph nodes above the collar bone is known as Supraclavicular lymphadenopathy. It is suggestive of: 1. Infections: like Lung infection, Tuberculosis, Sarcoidosis, etc. 2. Cancer: like Lymphoma, cancer of Lung, Breast or distant metastasis from Gastrointestinal tract. Kindly let us know about the following: 1. Are there similar lymph node enlargement/infection in other parts of the body? 2. Any positive family history of cancer of breast, lung, colon, etc.? 3. Habit of smoking or drinking alcohol? 4. Any associated symptoms like fever, night sweats, joint pains, cough, breathlessness, irregular bowel habits- constipation/diarrhea, nausea, vomiting? 5. Did you notice any significant loss of weight or apetite? If your answers to the above mentioned questions are NO, then the lymph node swelling can be attributed to local infection. Kindly consult your General Physician & get a proper clinical examination done to detect the source of infection. As you have already undergone FNAC, which has ruled out Tuberculosis & has revealed the presence of pus formation. So, the pus can be sent for culture and sensitivity reports. Based on the results obtained, specific antibiotics can be started to tackle the infection causing agent. There is no need to worry, you will be fine. Please let me know if I need to clarify further. Take care.

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Brief Answer: Kindly view the details Detailed Answer: Hello XXXXXXX Thanks for your follow up query. Given the fact that you do not have any associated clinical symptoms, the investigations like X ray & Ultrasound scan reveals a Normal study and the pus culture does not show any fungi or acid fast bacilli, the pus formation in the lymph node can be attributed to lymph node abscess secondary to a local infection which has now subsided. So, kindly consult your Doctor & get a proper clinical examination done. If it does not subside with antibiotics, then the pus needs to be drained or the lymph node can be removed surgically. There is no need to worry. Wishing you a good health. Take care.

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Brief Answer: Lymph node Tuberculosis-start ATT Detailed Answer: Hello XXXXXXX Thanks for your follow up query. Necro-inflammatory exudates along with presence of epitheloid cell granulomas and histiocytes is indicative of Granulomatous inflammation. The scattered beaded pink bacilli seen in ZN stain are the Mycobacterium (TB bacilli). Based on the FNAC report, the lymph node swelling can be attributed to Lymph node Tuberculosis. According to W.H.O guidelines, Lymph node Tuberculosis is managed with 2 months of Isoniazid, Rifampicin, Pyrizinamide & Ethambutol + 4 months of Isoniazid and Rifampicin. The doses need to be adjusted based on your body weight. So, it will be advisable to discuss with your Doctor & start Anti Tubercular Therapy. There is no need to worry, you will be fine. Wishing you a good health. Take care.

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