Hi,

I am sorry for your wife's illness.

Matted lymph nodes of the neck in the presence of cystic degeneration of chest (lung) indicates a problem in the lungs. It warrants further evaluation and medical attention.

You need to consult a competent pulmonologist for further evaluation and treatment. She may need some more tests such as computerised tomography scan /magnetic resonance imaging scan of the (CT/MRI) thorax and fine needle aspiration of the cervical lymph nodes to narrow down the possibility.

Hope this answers your query. Let me know if I have missed out on any other concern.

All the best!!

Regards

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Hi and thanks again,

The results of fine needle aspiration are suggestive of infection - a bacterial infection perhaps streptococcus. This can be treated with adequate rest, warm compresses and course of antibiotics. While this will take care of the acute pain and swelling in the neck, she needs further evaluation to determine the causative factors.

However in view of chest findings on lung x rays, it would be wise to start the evaluation from there. Hence, pulmonologist would be appropriate specialist now.

Hope this answers your query. Let me know if I have missed out on any other concerns.

Thanks again and wish her good healthy.

Regards

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