Dr. Varun Chaudhry
Radiodiagnosis
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have a lump in my left armpit, and it appeared six weeks ago and did not change physically. I have visited private hospitals and NHS for it. Each one gave me a different diagnosis. It was said to be a fat tissue (lipoma) by one, while the other said it is a swollen lymph node.
I have attached the images from the ultrasound.
Kindly help.
Hi,
Welcome to icliniq.com.
I have seen the images (attachments removed to protect the patient's identity). The lesion in focus is slightly hypoechoic (dark), so it is likely to represent a lymph node. Since I have not directly performed the USG (Ultrasonography) scan, I can only comment upon the limited images.
This lesion is less likely to be a lipoma which is usually fatty and should be hyperechoic (bright) on USG.
There are many reasons for a lymph node enlargement, such as infection. It could also be a reflection of breast lesions.
If the swelling persists, I would suggest to get this further evaluated clinically. Clinical evaluation of the breast is advised to rule out sinister.
The Probable causes
Investigations to be done
Regarding follow up
Patient's Query
Hi doctor,
Thank you for your response.
I have been to the NHS breast clinic. They also said it is a slightly enlarged lymph node, but nothing to worry about it.
I had a breast examination by a consultant who said she could not feel anything in the breasts; the lymph node did not show anything related to sinister.
Do you think that is fine? Or should I look further again?
Thanks.
Hi,
Welcome back to icliniq.com.
That is reassuring. If the consultant has evaluated you, it should be enough. You only need to consult the doctor again if the size keeps increasing or it becomes painful.
Regards.
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Radiodiagnosis
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