Presentation
Tiny, mobile, pea-sized lump in posterior triangle.
Patient Data
Age: 5 months
Gender: Male
From the case:
Tiny normal lymph node - posterior triangle
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Tiny lymph node with normal morphology.
Case Discussion
Young children may present with tiny "mobile" hard subcutaneous lumps. Clinical teams may ask for an ultrasound to confirm what the lump is.
A small, hypoechoic, ovoid subcutaneous lump with an echogenic fatty hilum is often seen and represents a tiny lymph node. In young children with a paucity of subcutaneous fat, these can feel strange and trigger referral for imaging.
Whenever there is a lump, ultrasound is always the first imaging modality.