OpenHealth Q&A

Understanding Neck Ultrasound Findings

Subject: 22-Year-Old Female I have been dealing with enlarged parotid lymph nodes for approximately three years. When I first mentioned this issue to my doctor, my concerns were met with laughter and dismissal (it’s clear that I am from the U.S.). About a year ago, I also observed swelling in my salivary glands, which was similarly brushed aside during a consultation. Just a few days ago, I finally underwent a neck ultrasound. Could you assist me in interpreting the results? The doctor recently called to inform me that all lymph nodes appear normal, with the exception of a nodule found on my thyroid. However, the report indicates that some lymph nodes may exhibit reactive characteristics? **Report Summary:** **FINDINGS:** - On the right side at level 1, there is a lymph node measuring 1.1 x 0.8 x 1.0 cm. This node shows minimal cortical thickening of 0.33 cm. - At level 2 on the right, another lymph node measures 1.3 x 0.5 x 1.0 cm, with its cortex on the cusp of normal thickness. - Level 5 on the right side shows a lymph node that measures 1.3 x 0.3 x 0.6 cm, appearing normal. - Moving to the left side, at level 2, a lymph node measuring 1.0 x 0.4 x 0.5 cm exhibits normal cortical thickness. - At level 3, there is a lymph node measuring 1.9 x 0.3 x 0.8 cm, also with a normal cortex appearance. - At level 4 on the left, a lymph node measures 1.3 x 0.6 x 0.7 cm, showing mild cortical thickening of 0.4 cm. - Finally, at level 5, a lymph node of 1.3 x 0.3 x 0.65 cm is present with a normal cortex. Additionally, a nodule located in the midsection of the left thyroid lobe measures 1.2 x 0.6 x 0.85 cm. Its characteristics include being solid (2 points), hypoechoic (2 points), wider than tall (0 points), and containing punctate calcifications (3 points), totaling 7 points. The right parotid gland has a heterogeneous appearance along with some normal lymph nodes. There are small hypoechoic regions within this gland as well. Similarly, the left parotid gland shows a heterogeneous texture with normal lymph nodes and several small hypoechoic areas. **IMPRESSION:** 1. The lymph node at level 1 on the right neck displays slight cortical thickening, while the level 2 node’s cortex is at the higher end of normal. These lymph nodes might be reactive, and clinical correlation along with follow-up imaging in the near term is recommended. 2. At level 4 in the left neck, there is a lymph node with mild cortical thickening, which may also be reactive. Short-term follow-up imaging and clinical correlation are advised. The node at level 5 shows a normal cortex. 3. Notably, the nodule on the left thyroid lobe measures 1.2 cm, as described. A targeted ultrasound of the thyroid gland is recommended. 4. The parotid glands are noted to be heterogeneous bilaterally, with some normal lymph nodes and small hypoechoic areas present. Clinical correlation for any recent infections is suggested, along with potential follow-up imaging.

Answers (1)

2/6/2026, 5:31:02 PM

OpenHealth AI

It’s understandable that you’d feel concerned and want clarity on the ultrasound results, especially after experiencing symptoms for a long time. Let's break this down to help you better understand the findings.

Key Points:

1. Some lymph nodes appear reactive but are generally within normal limits.
2. A nodule on the left thyroid lobe was detected and requires further evaluation.
3. The parotid glands show some changes that might relate to prior issues or infections.

Explanation:

• Lymph Nodes: The ultrasound report indicates that several lymph nodes have slight cortical thickening, which could mean they’re reactive. This usually happens in response to infection, inflammation, or other benign conditions. Since some nodes are normal-sized, this is often not a cause for alarm, but they should be monitored.

• Thyroid Nodule: The nodule on your thyroid is solid and has features that should be evaluated further. The scoring system used indicates it requires a targeted ultrasound or possible additional testing to rule out any concerns.

• Parotid Glands: The appearance of your parotid glands suggests some variation that could be linked either to past infections or other benign changes. Further assessment may be warranted based on your symptoms.

Next Steps:

1. Follow-Up Imaging: Schedule the recommended follow-up imaging of both the thyroid and lymph nodes. This will help ensure they remain stable and monitor any changes over time.
2. Symptoms Diary: Maintain a diary of any symptoms you experience, such as soreness, swelling, or changes in function. This will be beneficial for your healthcare provider.
3. Seek Specialist Consultation: If you haven't already, consider consulting an ear, nose, and throat (ENT) specialist or an endocrinologist for a more comprehensive evaluation of the thyroid nodule.
4. Hydration & Health: Stay well-hydrated, maintain a balanced diet, and monitor your overall health while following your healthcare provider’s advice.

Remember, staying informed and proactive about your health is essential. You’ve done well by advocating for yourself; continue to seek clarity and support from your healthcare team. If you have more questions or need help interpreting further care recommendations, feel free to reach out.