Brief Answer: Suggestive of tonsillitis with reactive lymphnodes Detailed Answer: Hello, Thanks for posting your query on HealthCareMagic. Presence of enlarged tonsils and enlarged cervical lymph nodes could be due to tonsillitis leading to reactive lymph node hyperplasia. You need to consult an ENT specialist for clinical examination. If the cervical lymph node are large enough, an aspiration cytology of the lymph nodes can be done. In this investigation, cells are sampled from the lesion using a fine needle. The cells are spread on a slide and stained with appropriate stain. Tonsillitis can initially managed with antibiotics. However, clinical assessment will decide whether conservative management is sufficient or surgical excision required. If you have more queries, I will be glad to answer. Dr Shailja P Wahal

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