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Sonoelastography of cervical lymph nodes

Case contributed by Abdelmonem Mahmoud
Diagnosis certain

Presentation

Bilateral neck swelling, right greater than left

Patient Data

Age: 30 years
Gender: Male

US including sonoelastography

ultrasound

B-mode ultrasound of cervical lymph nodes: non-enlarged cervical lymph node measuring
6 mm short axis, regular border, preserved hyperechoic hilum, hypoechoic parenchyma.

Color Doppler ultrasound: normal hilar vascularity. 

Color elastogram of the same lymph node gives pattern 2 elastography score and a strain ratio of 1.25.

Case Discussion

Final histopathological diagnosis is chronic non-specific lymphadenitis.

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