What does hypo-echoic lesion with calcification suggest?
Patient: Hi! my father age 64 yrs has undergone sonography of neck and report says ill defined hypoechoic lesion measuring 7*7 mm with calcifcation and minmal vasculartiy adjacent the left submandibular gland with clear demarcation not made out. no cervical lymphadenopathy. should we go for ct scan . Doctor: Hi,  They are suggestive of old healed tubercular lymphadenitis after initial caseous necrosis at the centre of lymph nodes, which over time gets calcified. They show as hypo-echoic lesion with central calcification.  Hope I have answered your question. Let me know if I can assist you further.  Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon