ULTRASONOGRAPHY AND COLOR DOPPLER EVALUATION OF CERVICAL LYMPHADENOPATHY WITH PATHOLOGICAL CORRELATION

Background: Enlarged cervical nodes are very common presentation in radiology department. The accurate diagnosis of the cervical lymphadenopathy is very crucial for further management. The aim of this study was to characterize cervical lymph nodes sonologically using their grey scale morphology and Color Doppler and to predict the cause based on above characterization and also to correlate Ultrasonography and Color Doppler ndings with pathological diagnosis. Methods: A prospective study was conducted in department of radiology, N.S.C.B. Medical college Jabalpur from 2021 to 2022 among 70 patients with clinically palpable cervical nodes. The sonographic ndings and FNAC correlation were done with calculation of p value, sensitivity and specicity. Results: Among 70 patients the most common diagnosis was reactive nodes followed by tubercular nodes, metastatic nodes and lymphomatous nodes. Reactive lymphadenitis common (57.1%), tuberculosis (18.6%), metastatic nodes (8.6%), lymphoma (2.9%). Ultrasound ndings correlated with histopathology in 90% cases. Conclusions: Ultrasound and color Doppler aid cervical lymphadenopathy assessment, enhancing clinical examination. Findings: Common in 20-30 age group (mean 35.54±18.38). Reactive nodes: unsharp border, central echogenic hilum; tubercular cases: matting, necrosis. Metastatic nodes: irregular shape, heterogeneous echotexture. Hilar vascularity in reactive lymphadenitis. Correlate ultrasound diagnoses with histopathology for accurate characterization.