Would you please check the results of my neck sonogram and interpret the results?

Q. Why do I have pain in my neck and feel tired for the last four months?

Answered by
Dr. Basuki Nath Bhagat
and medically reviewed by Dr. Chithranjali Ravichandran
This is a premium question & answer published on Dec 14, 2021

Hi doctor,

I am 47 years old, 5 feet 3 inches tall, weigh 165 pounds. I am a MS patient and I take Aubagio 7 mg. My MS is under control with no problem and it is stable. I was feeling very tired, had pain on the neck before four months. I went to the doctor and she sent me to do a neck ultrasound and told me that my lymph nodes were inflamed and gave antibiotics just in case it was an infection. I am still having the same symptoms, and she sent me to do a neck sonogram again and the lymph nodes were bigger. I have 5 nodes 2 of them almost 2 cm and in the right side another of almost 2 cm. The sonogram impression is: Bilateral neck soft tissue hypoechoic lesions as described, suggestive prominent lymph nodes correlation with CAT scan with contrast. Can you please let me know or advise your impression about it?

Thank you.



Welcome to icliniq.com.

I have read your query, and I can understand your concern. Lymphadenopathy is benign and self-limited in most patients. It refers to lymph nodes that are greater in size than 1 cm or abnormal inconsistency. A detailed and relevant medical history and physical examination are needed to find the etiology of the lymph node enlargement.

In the USG report done four months back, it was present only on the left side of the neck, and now the report of this month says it is bilateral that is present on both sides of the neck. The report in itself does not give any clue towards etiology except it suggests prominent lymph nodes. You also mentioned taking an antibiotic course after the first test. I would like to know the answers to the following questions:

1) Does lymph node swelling or your symptoms get resolved after taking antibiotics?

2) Did you have any recent fever or chills or sore throat, or viral infection?

3) Have you experienced any weight loss?

4) Do you have any constitutional symptoms like fever or night sweats or malaise, or fatigue?

5) Do you have any autoimmune symptoms like arthralgia, rash, joint stiffness?

Physical examination, including lymph node quality like warmth, tenderness, mobility, consistency, has to be assessed, which gives a clue to the possible etiology of the enlarged lymph node. You should visit your doctor. Doing a physical examination along with medical history might give her a hint. She may prescribe another course of antibiotics if it is related to infection, or you may need to undergo CT (computed tomography) scan along with a blood test. If needed, FNAC (fine needle aspiration cytology) can also be done to rule out the cause.

Would you please reply to the above questions to find a better solution?

I hope you find my reply helpful. Thanks.

Hi doctor,

Thank you for answering. I had complained to my doctor that something was bothering me in my neck when I was drinking. I had tremendous hot flashes that woke me up during the nights, but there was no sweating. She advised me of the first sonogram, which was before four months. I have extreme fatigue, and there is pain and discomfort in my neck. I just felt that the two balls in the back of my knees were very painful. She told me the characteristics of the lesions in my neck are worrying her as they are well-rounded, hypoechoic, and increments in size and quantity. Kindly help.



Welcome back to icliniq.com.

Compared with the earlier scan, the number and size have increased, and the well-rounded, hypoechoic nature of the lymph node is worrying, as your doctor told. The duration between the two scans is around five months, and it is one of the risk factors. Pain in the lymph node after taking alcohol is also a worrying symptom.

You have symptoms like hot flashes, discomfort, and extreme fatigue. If it is an enlarged lymph node, it points towards generalized lymphadenopathy. I would suggest you visit your doctor at the earliest. You should undergo a CT scan, specific blood test, FNAC, or lymph node biopsy to evaluate the lymph node.

I hope you can detect the cause of lymphadenopathy and treatment accordingly as early as possible.

Take care.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Is multiple sclerosis hereditary?

Back and thigh pain is posture related and tremors are anxiety related ... What do you recommend for someone who is sensitive to medication to treat anxiety ...   Read full

I have enlarged lymph nodes in my neck from six months. Do I need a biopsy?

In my opinion, you should get a FNAC (fine needle aspiration cytology) done from the lymph nodes to rule out any infection or malignancy ...   Read full

I have multiple sclerosis with shortness of breathe. Could paint spray fumes be the cause?

Hello doctor, I had unprotected anal sex with the neighbor lady before three years, and after a week I got jaundice, and it suffered around one month, and I got treatment with some ayurvedic medicines and got relief.   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.