ROLE OF HIGH RESOLUTION ULTRASOUND WITH COLOR DOPPLER FINDINGS IN TUBERCULAR CERVICAL LYMPHADENOPATHY”
Journal Title: INTERNATIONAL JOURNAL OF ADVANCED MEDICINE - Year 2019, Vol 3, Issue 5
Abstract
Introduction To evaluate the Ultrasound, Color Doppler ndings in enlarged cervical lymph nodes in tuberculosis patient. Materials And Methods We evaluated 48 cases of tubercular cervical lymphadenopathy, referred for USG evaluation of the neck. All of USG ndings were correlated with cytopathological / histopathological ndings. Results In our study, 58.3% (28/48) of tubercular nodes were unilateral. Short axis >10 mm was seen in 91.7% of tubercular lymph nodes. In our study 66.7% tubercular nodes were round on USG. Blurring of margins was seen in 41.7% of tubercular lymph nodes. Hilum was absent in 75% on USG. In our study 40 % of tubercular lymph node were hypoechoic. In 91.7% tubercular nodes had necrosis on USG. Matting was found in 50% cases of tubercular nodes. Tubercular nodes showed predominantly hilar vascularity on Color Doppler. Tubercular cervical lymph nodes showed RI<0.77 and PI<1.6. Conclusion Gray scale USG coupled with Doppler is a useful investigation in the evaluation of tubercular cervical adenopathy and is complementary to the CECT as it is non-invasive, inexpensive, readily available and free of radiation.
Authors and Affiliations
Disha Mittal, Sanjay Dhawan
Keywords
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