• small subcentimeter bilateral inguinal lymph nodes in MRI

  Posted by wth on October 25, 2019 at 3:14 am

  Hi,

  Following my previous threads:

  https://www.herniatalk.com/12969-wha…ical-movements

  https://www.herniatalk.com/13470-how…nia-in-the-mri

  I finally got the dynamic MRI for the pelvis following the recommended MRI protocol [USER=”935″]drtowfigh[/USER] (I also got a standard pelvis & abdominal MRI with and without contrast).

  Results are as follows:

  ====

  MRI OF THE PELVIS WITH AND WITHOUT CONTRAST
  COMPARISON STUDY: None available.
  CLINICAL INDICATION: Left lower quadrant pain and right lower quadrant pain.
  TECHNIQUE: Images were obtained on a GE Signa Excite 1.5 Tesla magnet using the following sequences:

  1. Axial proton density and T2 weighted.
  2. T2 FIR coronal.
  3. T1 coronal.
  4. T2 fat saturation sagittal.
  5. T1 sagittal.
  6. T2 FIR sagittal.
  7. T1 axial.
  8. Axial T2 breath hold.
  9. Sagittal T2 breath hold.
  10. Sagittal T2 Valsalva.
  11. Axial T2 Valsalva.
  12. T1 axial postcontrast.
  13. T1 sagittal postcontrast.
  14. T1 coronal postcontrast.

  FINDINGS: There are no appreciable inguinal hernias identified. There are no appreciable ventral hernias. There is prior appendectomy. There are no abnormal fluid collections within the pelvis. There are no bladder stones. Prostate gland is not enlarged. There are small subcentimeter bilateral inguinal lymph nodes which do not meet the size criteria for pathology.

  There is no pelvic sidewall lymphadenopathy.
  On the postcontrast images, there is no abnormal enhancement.

  IMPRESSION:

  1. NO APPRECIABLE INGUINAL HERNIA IS IDENTIFIED. CLINICAL CORRELATION WOULD BE HELPFUL.
  2. SMALL SUBCENTIMETER BILATERAL INGUINAL LYMPH NODES WHICH DO NOT MEET THE SIZE CRITERIA FOR PATHOLOGY.

  ====

  What does small subcentimeter bilateral inguinal lymph nodes mean? Can that explain the pain I’m experiencing? Is surgery an option for such a finding? Or are there other ways to treat this?
  What could cause this? Is there any pathogen that can cause this?

  If this is not the reason for the pain, what other reasons are possible? Also is it safe to start core/body strengthening exercises to prevent a possible hernia in the future?

  Please advise.

  Thanks!

  drtowfigh replied 5 years, 2 months ago 2 Members · 1 Reply
• 1 Reply

• 

  drtowfigh

  Moderator

  October 25, 2019 at 1:58 pm

  – the lymph nodes are normal and not part of the problem. No need to operate on those
  – MRIs are often misreported for hernias so I read my own in addition to the radiologic report. Ie, just because the report said you don’t have a hernia doesn’t necessarily mean you don’t.
  -Any core exercise is perfectly safe.

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