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Need Assistance Interpreting An Ultrasound Report: Ultrasound Right And Left

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Posted on Thu, 25 Jun 2020
Question: Need assistance interpreting an ultrasound report:

Ultrasound right and left lower extremity

Indication for examination: Palpable soft tissue masses right and left
inguinal region.

Ultrasound examination of the right and left lower extremity is
performed with transverse and longitudinal images, with attention to
the right and left inguinal region as directed by the patient.

There are multiple, mildly prominent bilateral inguinal lymph nodes.
Single largest of these on the left side measures 2.6 cm, single
largest on the right side measures 1.9 cm in length. These are
morphologically normal in appearance. These cannot be characterized
further and clinical follow-up is recommended.

Fat and fascial planes are otherwise intact. No other sonographic
abnormality identified.

CONCLUSION:

Multiple bilateral inguinal lymph nodes as described. Largest on the
right measures 1.9 cm in length, largest on the left measures 2.6 cm in
length. These are morphologically normal in appearance and cannot be
characterized further sonographically.

No other focal findings..
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Follow up: Dr. T Chandrakant (0 minute later)
Need assistance interpreting an ultrasound report:

Ultrasound right and left lower extremity

Indication for examination: Palpable soft tissue masses right and left
inguinal region.

Ultrasound examination of the right and left lower extremity is
performed with transverse and longitudinal images, with attention to
the right and left inguinal region as directed by the patient.

There are multiple, mildly prominent bilateral inguinal lymph nodes.
Single largest of these on the left side measures 2.6 cm, single
largest on the right side measures 1.9 cm in length. These are
morphologically normal in appearance. These cannot be characterized
further and clinical follow-up is recommended.

Fat and fascial planes are otherwise intact. No other sonographic
abnormality identified.

CONCLUSION:

Multiple bilateral inguinal lymph nodes as described. Largest on the
right measures 1.9 cm in length, largest on the left measures 2.6 cm in
length. These are morphologically normal in appearance and cannot be
characterized further sonographically.

No other focal findings..
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Please ask specific questions

Detailed Answer:
Hi.
Thanks for your query.
Noted the report.
The report is straightforward.
Please let me know what exactly you would like to know.
Also give details:
Your age and gender.
Detailed history:
When did this start?
Any symptoms?
Skin above swelling?
Any other investigations of blood, urine?
FNAC?
Any urinary complaints, history of exposure, any disease related to private parts/genito-urinary system?

Dr T Chandrakant.
General Surgeon.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. T Chandrakant (0 minute later)
Brief Answer:
Please ask specific questions

Detailed Answer:
Hi.
Thanks for your query.
Noted the report.
The report is straightforward.
Please let me know what exactly you would like to know.
Also give details:
Your age and gender.
Detailed history:
When did this start?
Any symptoms?
Skin above swelling?
Any other investigations of blood, urine?
FNAC?
Any urinary complaints, history of exposure, any disease related to private parts/genito-urinary system?

Dr T Chandrakant.
General Surgeon.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (9 minutes later)
Hi there,

35 year old male, skin above the lymph nodes is unremarkable to my eye. For context, the 2.6 cm node referred to in the report is enlarged and non-tender and was noticed perhaps 2 or 3 months ago. It is moveable and not hard. I have had bladder pain for approximately 1.5 years with no diagnosis and all urinalyses have been negative for blood or any signs of infection. Bacterial culture was also negative. No history of biopsy of any of these nodes. General practitioner didn't seem especially concerned and referred me for the ultrasound out of an abundance of caution, but I have not been able to consult with him about the results yet.

I'm wondering if anything in that report is suggestive suggestive of lymphoma or cancer of a lymph node, as I'm not sure what to make of the statement that the nodes cannot be further characterized and clinical follow up is needed.

default
Follow up: Dr. T Chandrakant (0 minute later)
Hi there,

35 year old male, skin above the lymph nodes is unremarkable to my eye. For context, the 2.6 cm node referred to in the report is enlarged and non-tender and was noticed perhaps 2 or 3 months ago. It is moveable and not hard. I have had bladder pain for approximately 1.5 years with no diagnosis and all urinalyses have been negative for blood or any signs of infection. Bacterial culture was also negative. No history of biopsy of any of these nodes. General practitioner didn't seem especially concerned and referred me for the ultrasound out of an abundance of caution, but I have not been able to consult with him about the results yet.

I'm wondering if anything in that report is suggestive suggestive of lymphoma or cancer of a lymph node, as I'm not sure what to make of the statement that the nodes cannot be further characterized and clinical follow up is needed.

doctor
Answered by Dr. T Chandrakant (49 minutes later)
Brief Answer:
As discussed

Detailed Answer:
Great.
Thanks for your additional interaction.
Ultrasonography and for that sake, CT scan or even MRI have their limitations in diagnosis as the images created by these machines are studied and reported as per the findings.
With this reference it is specifically mentioned in the report that the images of Ultrasound are showing no variation morphologically like changes in the center or so.
Hence unable to comment upon the possible cause of enlargement of inguinal lymph nodes.
In all such cases only FNAC that is fine needle aspiration cytology and still better the excision biopsy of lymph nodes alone can tell us the accurate diagnosis.
I would advise you to get FNAC and Biopsy done asap and get the correct diagnosis as the nodes are noted for 2-3 months.

I hope this answers your query and helps you in getting an earliest and accurate diagnosis which is the basis of proper management.

Please give feedback once FNAC and biopsy are done.

Dr T Chandrakant.
General Surgeon.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. T Chandrakant (0 minute later)
Brief Answer:
As discussed

Detailed Answer:
Great.
Thanks for your additional interaction.
Ultrasonography and for that sake, CT scan or even MRI have their limitations in diagnosis as the images created by these machines are studied and reported as per the findings.
With this reference it is specifically mentioned in the report that the images of Ultrasound are showing no variation morphologically like changes in the center or so.
Hence unable to comment upon the possible cause of enlargement of inguinal lymph nodes.
In all such cases only FNAC that is fine needle aspiration cytology and still better the excision biopsy of lymph nodes alone can tell us the accurate diagnosis.
I would advise you to get FNAC and Biopsy done asap and get the correct diagnosis as the nodes are noted for 2-3 months.

I hope this answers your query and helps you in getting an earliest and accurate diagnosis which is the basis of proper management.

Please give feedback once FNAC and biopsy are done.

Dr T Chandrakant.
General Surgeon.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19650 Questions

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Need Assistance Interpreting An Ultrasound Report: Ultrasound Right And Left

Need assistance interpreting an ultrasound report: Ultrasound right and left lower extremity Indication for examination: Palpable soft tissue masses right and left inguinal region. Ultrasound examination of the right and left lower extremity is performed with transverse and longitudinal images, with attention to the right and left inguinal region as directed by the patient. There are multiple, mildly prominent bilateral inguinal lymph nodes. Single largest of these on the left side measures 2.6 cm, single largest on the right side measures 1.9 cm in length. These are morphologically normal in appearance. These cannot be characterized further and clinical follow-up is recommended. Fat and fascial planes are otherwise intact. No other sonographic abnormality identified. CONCLUSION: Multiple bilateral inguinal lymph nodes as described. Largest on the right measures 1.9 cm in length, largest on the left measures 2.6 cm in length. These are morphologically normal in appearance and cannot be characterized further sonographically. No other focal findings..