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Sonographic Evaluation of Cervical Lymph Nodes

¹ Department of Diagnostic Radiology and Organ Imaging, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, China.
² Department of Optometry and Radiography, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China.

OBJECTIVE. Sonography is a useful imaging tool in the evaluation of cervical lymph nodes. Gray-scale sonography and color and power Doppler sonography are commonly used in clinical practice. This article documents the common sonographic appearances of different causes of cervical lymphadenopathy.

CONCLUSION. The sonographic appearances of normal nodes differ from those of abnormal nodes. Sonographic features that help to identify abnormal nodes include shape (round), absent hilus, intranodal necrosis, reticulation, calcification, matting, soft-tissue edema, and peripheral vascularity.

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