Cervical Lymph Nodes Ultrasound Normal Vs Abnormal Images | Reactive & Malignant Neck Nodes USG Scan

*Cases
Reactive Lymph Nodes 0:00
Malignant Lymph Nodes 2:36

Normal Cervical Lymph Nodes:
Shape and Size: Usually oval with a smooth, welldefined border. Measure less than 1 cm
Hypoechoic with echogenic central hilum
Vascularity: On Doppler imaging, normal lymph nodes show minimal vascularity, often with a single hilar vascular signal.

Reactive Cervical Lymph Nodes:
May enlarge but usually do not exceed 23 cm in diameter.
Shape: They typically retain their oval shape with smooth borders, unlike the rounded shape often seen in malignant lymph nodes.
Echotexture: They have a homogeneous appearance with a preserved echogenic hilum, indicating their benign nature.
Vascularity: On Doppler ultrasound, reactive lymph nodes may show increased vascularity but it is usually centered at the hilum, which is a normal response to increased activity within the lymph node.

Malignant Cervical Lymph Node:
Loss of central echogenic fatty hilum
Enlarged
Heterogeneous appearance
Become rounded or irregular in shape
Cystic necrosis: Illdefined hypoechoic areas within lymph node
Peripheral vascularity