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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Ultrasound Scan Normal?

I had an ultrasound performed yesterday on some palpable lumps between my groin and right hip. My hip has been hurting now for almost two weeks although the lumps (which are believed to be lymph nodes at this point) have been there for almost a year w/out pain and with only minimal growth. The US Report states multiple hypoechotic masses most consistant with lymph nodes. Are lymph nodes usually hypoechotic? I want to cover all bases, here, and without inundating my concerned mind with all the "scary information" online. On a scale of 1-10 how concerned should I rationally be? I'm not feeling altogether very well either, but I'm beginning to wonder how much of that is psycosomatic.
Wed, 4 Jun 2014
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Radiologist,  's  Response
Hi,
Thanks for choosing healthcaremagic.
Lumps between groin and hip should be inguinal lymph nodes.
Lymph nodes are usually hypoechoic with central hyperechoic fatty hilum.
Inguinal lymph nodes are usually big and upto 2 cms is normal in size.
If they are bigger than 2 cms, you should be worried.
If bigger than 2 cms, you have to determine whether they are oval, fatty hilum is maintained or not. If oval and fatty hilum is maintained then you can be sure they are inflammatory and will subside in some time after medications. If not then you have to undergo FNAC/Biopsy for confirmatory diagnosis.
Depending on the facts your scale of worrying should be,
If less than 2 cms - 1/10.
>2cms with maintained hilum and oval - 3/10. should be followed up after medications.
If >cms and fatty hilum not maintained and they are rounded - 7/10. It is to be worried and you should undergo tissue diagnosis and treatment accordingly.
Hope it sorts your problem.
Regards.
Dr. Pankaj Nagori
Specialist Radiology
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Is The Ultrasound Scan Normal?

Hi, Thanks for choosing healthcaremagic. Lumps between groin and hip should be inguinal lymph nodes. Lymph nodes are usually hypoechoic with central hyperechoic fatty hilum. Inguinal lymph nodes are usually big and upto 2 cms is normal in size. If they are bigger than 2 cms, you should be worried. If bigger than 2 cms, you have to determine whether they are oval, fatty hilum is maintained or not. If oval and fatty hilum is maintained then you can be sure they are inflammatory and will subside in some time after medications. If not then you have to undergo FNAC/Biopsy for confirmatory diagnosis. Depending on the facts your scale of worrying should be, If less than 2 cms - 1/10. 2cms with maintained hilum and oval - 3/10. should be followed up after medications. If cms and fatty hilum not maintained and they are rounded - 7/10. It is to be worried and you should undergo tissue diagnosis and treatment accordingly. Hope it sorts your problem. Regards. Dr. Pankaj Nagori Specialist Radiology