
What Does My Ultrasound Scan Report Indicate?

?Firm Lymphnode with Sick feeling lately / Under Evaluation
Detailed Answer:
Brief Ans-?Firm Lymphnode with Sick feeling lately / Under Evaluation
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
My opinion-
In the given situation, You seem to have suffered from sub-clinical hidden/undetected infection in throat/ or mouth,which is corroborated by your feeling of sickness with mild drainage in throat,lately.
But in view of your past history of Hurthle cell ?adenoma- a benign tumor of thyroid and your familial history of multiple cancers, I would suggest to re-confirm by needful investigations for following differential diagnosis-
-It could be just from subclinical Siladenitis- as opined from family doctor,
-or it could be from maxillary sinus infections - as you have history of throat drainage with sick feeling lately,
-Or it could be Thyroid malignancy with regional submandibular spread, which needs to be ruled after Histopathological report of its biopsy.
History Hurthle cell adenoma- raises this possibility, but when one considers that total thyroidectomy has done, at your younger age, to avoid possibility of thyroid cancers development in advanced age of sixties. Here your 48 yrs age also negates such a possibility.
And for this I would suggest a work up from ENT Surgeon and Dental Surgeon and General Surgeon team. Till their detailed investigation don't at all Worry about it being from cancer, due to merits discussed here in above.
But dear to give more possibilities of such a painless firm, sub-mandibular node, I would expect more details of past and present illnesses of throat and sinuses if any.Also update if you have any gastric trouble/indigestion in past or currently.
Also update if your have excess salivation/or pain in submandibular gland, eating citrus fruits
Please update More details on your health issues as told above and what you want exactly from this interaction.
After getting more details,I would give further suggestions on medicines to correct health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTSd


Hard nodule under left jaw / Under Evaluation
Detailed Answer:
Brief Ans-Hard nodule under left jaw / Under Evaluation
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
Dear,While reviewing the updated data in all the details, I could guess the amount of anxiety and stress you are in. To resolve this,please go through My expert efforts as follows-
-My Comments after review of update details-
Dear,After review of the detailed marathon submissions,all my doubts have come true partly as off now,regarding sinus and Gi issues causing throat drain lately with sick feel.
To add to last story,your updated query facts indicate-you have sick feeling all on face and neck with firm left parotid.Besides this,presence of chronic malnutrition from commendable diet for weight reduction, with low appetite for water intake.
-My opinion-
In the given situation, You seem to be suffering from Chronic Sclerosing Sileadentis-CSS-(Submandibular/ and Parotid),with seek feeling spread over left side of face and neck.
Dear,In the given scenario and facts submitted,the cause of this firm left submandibular nodule-now seems to be narrowing down to Submandibular gland and parotid gland,as you confirmed painless firmness of left parotid in this 1st update .
-Differrential diagnosis-possibilities after 1st Update
Depending on My past experience and expertise thereafter,Cause of firm submandibular nodule with firm parotid with presence of drain down the throat with sickness feel in left face now narrows down to following possibilities-
-It could be-CSS(Chronic Sclerosing Sileadenitis) from autoimmune disease,
-or could be a Kuttner tumour (KT)with -sclerosing parotitis,
-or from Sjogren's Syndrome,
or it could be- indication of lymphoma,
-Possibilities of thyroid hurthle cell Carcinoma with distant submandibular node also needs to be kept in mind.
Dear other unmentioned causes need to be ruled out,which would be done by team of ENT/General and Onco- Surgeon.
What is the way out to confirm these causes?
I would need more details on few important lead questions,before giving My suggestions and solutions to it,so as to resolve your highly complex with challenging and intriguing health issues,causing worries to you lately.
-More Info please as follows-
Do You have dryness of mouth/eyes?if yes,since when?
How frequent and in what quantity in a day, you take fluids(water/juices/tea,coffee)?
Are you fond of tea ? how many cups a day?
Are you a known high bp / and or diabetic ?Since how long?List medicines in details?if any?
Please update picture of the nodule under left jaw,with side and front view,which would help me a lot.
Action plan-
This would need above info with details,upon which I would plan further suggestions with My expertise and 37 yrs of practicing experience
Please update More details on any other health issues as told above and what you want exactly from this interaction.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries , You are most Welcome herewith !!
Good Day!! Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Hard nodule under left jaw / Under Evaluation
Detailed Answer:
Brief Ans-Hard nodule under left jaw / Under Evaluation
Mostly from Sileadenitis of left submandibular Salivary gland.
Treatment would depend only after histo-path after FNAC or Biopsy.
Hi Dear !! Thanks for your 2nd updated query to HCM .
Read and reviewed your query and health concerns.
It seems you are satisfied with the interactions in last 2 replies.
Comments-
Dear,While reviewing the updated data of 2nd updates in all the details,your very low intake is mostly adding to your dry eyes.
Possibilities about firm nodule of 8-10 ml size under left jaw, are convincingly explained to you in last reply.
Primary Impression-
Mostly from Sileadenitis of left submandibular Salivary gland.
Treatment would depend only after histo-path after FNAC or Biopsy.
Do's Suggested-
Don't worry about odd possibilities,which are of academic interest.
This needs to be confirmed with Surgical Specialist, who would get FNAC / or Excisional Biopsy of the nodule and would confirm the exact nature of this painless node.
Also CT/MRI study would be needed to resolve Mystery of? firm larger parotid on left side.
Add another 600 ml to your fluid intake in form of juices / water etc.
Avoid coke to help you hydrate more.
In view of non-diabetic and non-hypertensive, no issues with it.
Plan of treatment-
Check with Family doctor for any rise in size of left hard nodule.
Get Consults and Second opinion from Surgeon.
Get CT neck/ parotids,to assess its structure.
Discuss with attending doctors on the possibilities they suggest.
Rule out discussed possibilities only if need be.
Contact again with special query, if need be,on the link at HCM given below.
Alerts-
After meeting with family doctor, get investigations done,after Second opinion from Surgical Specialist, who would be right person to take it further on treatment plans.
Please update More details on any other health issues as told above and what you want exactly from this interaction.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, do close this query with YOUR pleasing feedback/ excellent comments to rate this reply and service, to boost the morale of incoming needy Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries , You are most Welcome herewith !!
Good Day!! Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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