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Swollen Level 2 Lymph nodes
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Swollen Level 2 Lymph nodes

I had a CT scan done on 3 JUL. It was done serial axial 1mm images through neck after the administration of 75cc Visipague. Total DLP 724.40
Findings: There are two prominent level 2 lymph nodes, with Left level 2 lymph node measuring 1.9 x 1.9 x 1.3cm. Right level 2 node measures 1.9 x 0.9 x 2.2cm. More medial Right level 2 node measures 1.2 x 1.4 x 0.9cm. More medial inferior Left level 2 node measures 1.0 x 1.7 x 1.2cm. Small bilateral level 3 and 4 lymph nodes. Both Tonsillar pillars are prominent. Prominent tongue base soft tissue fills the vallecula. No nasopharyngeal mass. Epiglottis and aryepiglottic folds are not thickened. Vocal cords symmetric. Upper Trachea is widely patent. 6mm Hypodense nodule noted in right lobe of Thyroid Gland.
1081992_tn?1389907237
Hi, it looks like the next step should be to get a look at an individual node to see how it is inside. I'm assuming that your doc ordered that CT because this doesn't seem to be a short term situation.

Maybe a sonogram would be good enough, to try and see if a node's internal architecture seems normal. If a "fatty hilum" is visible, that's a very good sign.

Or, instead of a scan, there is the possibility of a biopsy -- especially if a suspicious node is easily available to be taken out without too much risk. Or maybe a surgeon would think that taking a tonsil for study would be better.

Or maybe that thyroid nodule was the start of everything, and they'd want to biopsy that. *If* the nodes are cancerous, they might be lymphoma or they might be secondary metastasis to a cancer in the thyroid.

It's still possible that everything is from a bad infection, since mostly only lymph nodes and lymphoid tissue seem to be involved. Lots of people, AFAIK, might have benign thyroid nodules.

I'd guess that the sizes of the largest nodes are right on the borderline of what might still be benign and not cancer.

The lack of nasopharyngeal masses seems to rule oot plasmacytoma.

Good luck.
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