Level 2 lymph nodes

[Niek Vink]

Dear all,

I have a question regarding myself. Since about 6 weeks I have noticed a bilateral swelling in my neck in zone 2.

I have had no other clinical symptoms, also not in the weeks before first noticing the swelling.

I went to the doctor this week to check it out and they did some bloodwork that came back negative. She did not feel any lumps though and since I have it bilateral she is not worried and told me to wait another six weeks. She did not think an ultrasound was necessary.

Did not really feel comfortable since I do feel the lumps and the swelling. Decided to scan my neck (I am a physio and not trained in thyroid ultrasdound) and found some swollen lymph nodes I think. The largest one I measured in short and long axis (see attached pic).

The good:
It is wider than tall
It is completely a-vascular (guess that is a good thing?)
Homogeneous
No signs of high peripheral

The bad:
I have no explanation for the swelling
I cant see a hilum in any of the nodes
I feel them getting bigger instead of smaller

I hope these are just reactive lymph nodes, but the loss of the hilum and normal bloodwork makes me doubt.

What do you think?

For all my scans see this link:
https://www.dropbox.com/scl/fo/2f9g45q95ftry8p78rmlf/AM3RusqPPaKB2PpydF6VgfY?rlkey=07wckl1qlrk9j09gyh25iq4qd&st=w3dqrvr4&dl=0

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