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Inquiry About Radiology Report

7/29/2025, 9:40:31 PMMale25-34

Upon noticing that I had multiple visible lymph nodes in my neck, I consulted my primary care physician (PCP). My medical background includes episodes of unexplained weight loss, totaling around 30 pounds, which has stabilized over the past six months without any known cause. Following my assessment, the PCP referred me for an ultrasound to investigate the potential presence of malignancy. The radiologist's findings revealed the following: **FINDINGS:** Numerous lymph nodes were observed in both sides of the neck. **Right Side (largest identified lymph nodes):** * Superior: 1.1 x 0.2 x 0.8 cm * Mid: 1.6 x 0.5 x 0.8 cm * Inferior: 0.8 x 0.6 x 0.7 cm **Left Side (largest identified lymph nodes):** * Superior: 0.9 x 0.4 x 1.0 cm * Mid: 1.5 x 0.4 x 1.5 cm * Inferior: 1.4 x 0.8 x 0.6 cm **IMPRESSION:** There are several enlarged cervical lymph nodes bilaterally, predominantly observed in the mid and inferior aspects of the left side of the neck. Further assessment may be necessary if clinically warranted. I'm left wondering if this report lacks crucial details. Is it advisable for me to contact my PCP for further clarification? If I do reach out, what specific questions should I consider asking?

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

7/29/2025, 9:40:48 PM

OpenHealth AI

It's understandable to feel concerned after receiving a radiology report that mentions multiple enlarged lymph nodes, especially in the context of unexplained weight loss. It’s important to clarify any uncertainties and ensure you have a complete understanding of your health status.

Summary of Main Points:

  1. Enlarged lymph nodes can have various causes, and it’s crucial to discuss the implications with your primary care physician (PCP).
  2. Reaching out to your PCP for clarification is advisable, as they can provide personalized insights based on your entire medical history and the ultrasound findings.

Explanation:

Lymph nodes can become enlarged due to several factors such as infections, inflammatory conditions, or, in some cases, malignancy (cancer). Your radiologist’s report indicates that there are numerous enlarged lymph nodes, and their size and location may warrant further investigation depending on your symptoms and medical history.

In the context of your unexplained weight loss, it is particularly important to have a thorough follow-up. There may be questions about whether further testing (like a biopsy) is needed to rule out any serious conditions or if monitoring the situation is more appropriate.

Next Steps:

  1. Contact Your PCP: It’s beneficial to reach out for clarification. Here are some specific questions you might consider asking:

    • What do the ultrasound findings indicate in the context of my overall health and symptoms?
    • Do you recommend any further tests or evaluations based on these findings and my weight loss?
    • What potential causes could be associated with the enlarged lymph nodes, considering my weight loss history?
    • Should I be monitoring any new symptoms, and what signs should prompt immediate attention?
  2. Prepare for Your Conversation: Before your appointment or call:

    • Write down any symptoms you've experienced, how long you've had them, and any other recent changes in your health.
    • Note any specific concerns you have about cancer or other underlying issues, as this can guide the discussion.
  3. Stay Informed: After your discussion with your PCP, ensure you understand the next steps. Whether it’s further testing or a period of monitoring, knowing the plan can help reduce anxiety.

Reaching out to your PCP is a proactive step and can provide you with clarity and comfort regarding your health. Remember, you deserve complete information to make informed decisions about your care.

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