Research Paper

Role Of High Resolution Ultrasound With Color Doppler Findings In Tubercular Cervical Lymphadenopathy

Abstract :

IntroductionTo evaluate the Ultrasound, Color Doppler findings in enlarged cervical lymph nodes in tuberculosis patient.Materials And MethodsWe evaluated 48 cases of tubercular cervical lymphadenopathy, referred for USG evaluation of the neck. All of USG findings were correlated with cytopathological / histopathological findings.ResultsIn 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. ConclusionGray 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.

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