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Just Got This Report From My Ultrasound . Could You
Question: Just got this report from my ultrasound. Could you please explain this? How concerned should I be about the lymph nodes on my parotids? Thank you.
HISTORY: Dificulty swallowing on left side of throat
-Recently diagnosed sjogrens
-Hashimotos
COMPARISON: None
Multiple transverse and longitudinal high-resolution images of the thyroid gland were
obtained with a linear transducer, including color Doppler evaluation. Cervical lymph node
levels I-VI as well as the right and left lobes of the submandibular gland and of the
parotid gland was also evaluated with high resolution images.
The right lobe of the thyroid measures 3.41 cm x 0.90 cm x 1.06 cm.
The left lobe of the thyroid measures 3.01 cm x 1.01 cm x 0.77 cm.
The isthmus measures 0.19 cm in width.
The thyroid parenchyma is mildly heterogeneous. No thyroid nodules. .
Findings in the right neck:
1. Right lobe of the parotid gland is heterogeneous with micronodularity. There is a right
parotid lymph node of 1 x 0.7 x 0.7 cm.
2. Morphologically unremarkable level 2 lymph node of 2.5 x 0.8 x 2.1 cm.
3. No mass seen in the right lobe of the submandibular gland. The lobe is mildly
heterogeneous.
Findings in the left neck:
1. Heterogeneous left parotid lobe with micronodularity noted similar to the right parotid
lobe. There is an intraparotid lymph node of 0.6 x 0.4 cm.
2. Morphologically unremarkable level 1 lymph node of 1.9 x 0.6 x 1.4 cm.
3. No masses seen in the left lobe of the submandibular gland. The lobe is mildly
heterogeneous.
IMPRESSION:
1. Heterogeneous right and left parotid lobes with micronodularity.
2. Right parotid lymph node of 1 x 0.7 x 0.7 cm.
3. Left parotid lymph node of 0.6 x 0.4 x 0.5 cm.
4. Mildly heterogeneous thyroid parenchyma. No thyroid nodules noted.
HISTORY: Dificulty swallowing on left side of throat
-Recently diagnosed sjogrens
-Hashimotos
COMPARISON: None
Multiple transverse and longitudinal high-resolution images of the thyroid gland were
obtained with a linear transducer, including color Doppler evaluation. Cervical lymph node
levels I-VI as well as the right and left lobes of the submandibular gland and of the
parotid gland was also evaluated with high resolution images.
The right lobe of the thyroid measures 3.41 cm x 0.90 cm x 1.06 cm.
The left lobe of the thyroid measures 3.01 cm x 1.01 cm x 0.77 cm.
The isthmus measures 0.19 cm in width.
The thyroid parenchyma is mildly heterogeneous. No thyroid nodules. .
Findings in the right neck:
1. Right lobe of the parotid gland is heterogeneous with micronodularity. There is a right
parotid lymph node of 1 x 0.7 x 0.7 cm.
2. Morphologically unremarkable level 2 lymph node of 2.5 x 0.8 x 2.1 cm.
3. No mass seen in the right lobe of the submandibular gland. The lobe is mildly
heterogeneous.
Findings in the left neck:
1. Heterogeneous left parotid lobe with micronodularity noted similar to the right parotid
lobe. There is an intraparotid lymph node of 0.6 x 0.4 cm.
2. Morphologically unremarkable level 1 lymph node of 1.9 x 0.6 x 1.4 cm.
3. No masses seen in the left lobe of the submandibular gland. The lobe is mildly
heterogeneous.
IMPRESSION:
1. Heterogeneous right and left parotid lobes with micronodularity.
2. Right parotid lymph node of 1 x 0.7 x 0.7 cm.
3. Left parotid lymph node of 0.6 x 0.4 x 0.5 cm.
4. Mildly heterogeneous thyroid parenchyma. No thyroid nodules noted.
Just realized they saw enlarged lump nodes in my neck also. So how concerned should I be over the ones in my neck and parotids? Thank you.
Brief Answer:
I would like to reassure you the reports can be considered as normal.
Detailed Answer:
Hi
Thanks for posting the query
I have gone through the reports thoroughly and there is no significant pathology seen in those reports.
1. The lymph nodes noticed in the neck and over the parotids are the normal nodes which are enlarged due to inflammation in the surrounding region and they are within normal limits.
2. The heterogenosity in both the parotids is due to the recurrent inflammation of the parotid gland either due to smoking or less consumption of water or due to Sjogren's syndrome. This is not very significant.
Sjogren's syndrome does cause the dryness in the oral cavity due to reduced production of saliva and lead to recurrent inflammation of the mucosa of the oral cavity and the upper aero-digestive tract. Recurrent inflammation causes enlargement of the lymph nodes in the those areas which it drain.
3. I would like to reassure you the reports are normal.
4. The basic problem of difficulty in swallowing over the side of the neck could be due to Laryngopharyngeal reflux secondary to the acid reflux disease.
Hope this answers your query; revert back to me if you have any follow-up queries.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
I would like to reassure you the reports can be considered as normal.
Detailed Answer:
Hi
Thanks for posting the query
I have gone through the reports thoroughly and there is no significant pathology seen in those reports.
1. The lymph nodes noticed in the neck and over the parotids are the normal nodes which are enlarged due to inflammation in the surrounding region and they are within normal limits.
2. The heterogenosity in both the parotids is due to the recurrent inflammation of the parotid gland either due to smoking or less consumption of water or due to Sjogren's syndrome. This is not very significant.
Sjogren's syndrome does cause the dryness in the oral cavity due to reduced production of saliva and lead to recurrent inflammation of the mucosa of the oral cavity and the upper aero-digestive tract. Recurrent inflammation causes enlargement of the lymph nodes in the those areas which it drain.
3. I would like to reassure you the reports are normal.
4. The basic problem of difficulty in swallowing over the side of the neck could be due to Laryngopharyngeal reflux secondary to the acid reflux disease.
Hope this answers your query; revert back to me if you have any follow-up queries.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your detailed response doctor XXXXXXX I drink 4 liters of water a day and I don’t smoke so it has to be due to sjogrens.
-Would you recommend yearly ultrasounds of my glands since I have sjogrens?
-I’ve never had swelling in any of my glands, but is it possible for them to be inflamated without me feeling them enlarged?
-Besides drinking water, is there anything else you would recommend to try to bring down or prevent inflammation in my glands?
I am already following a clean diet, exercise, drink lots of water, take vitamins, etc. but if there is anything else you think might be helpful Id appreciate it.
Thank you for your time.
-Would you recommend yearly ultrasounds of my glands since I have sjogrens?
-I’ve never had swelling in any of my glands, but is it possible for them to be inflamated without me feeling them enlarged?
-Besides drinking water, is there anything else you would recommend to try to bring down or prevent inflammation in my glands?
I am already following a clean diet, exercise, drink lots of water, take vitamins, etc. but if there is anything else you think might be helpful Id appreciate it.
Thank you for your time.
Brief Answer:
Sialogogues can increase saliva production
Detailed Answer:
Hi
Thanks for writing back
1. Continue drinking the same amount of water you are consuming at present. Also, you can take sialogogues such as sour food (lemon, orange, berries) which can help in increasing the salivary production. Medicines such as pilocarpine is also helpful in stimulation of saliva.
Avoid sweets and fried food as much as possible.
2. Yes, I would recommend yearly ultrasound of the salivary glands to rule out salivary duct stones and chronic inflammation of the glands.
3. The deep neck nodes and parotid lymph nodes are not always palpable.
4. Continue with your present lifestyle, it seems to be fantastic.
Hope this clarifies your doubts. Wish you good health.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Sialogogues can increase saliva production
Detailed Answer:
Hi
Thanks for writing back
1. Continue drinking the same amount of water you are consuming at present. Also, you can take sialogogues such as sour food (lemon, orange, berries) which can help in increasing the salivary production. Medicines such as pilocarpine is also helpful in stimulation of saliva.
Avoid sweets and fried food as much as possible.
2. Yes, I would recommend yearly ultrasound of the salivary glands to rule out salivary duct stones and chronic inflammation of the glands.
3. The deep neck nodes and parotid lymph nodes are not always palpable.
4. Continue with your present lifestyle, it seems to be fantastic.
Hope this clarifies your doubts. Wish you good health.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Naveen Kumar Nanjasetty
Otolaryngologist / ENT Specialist
Practicing since :2001
Answered : 2540 Questions
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