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B-mode and Doppler ultrasonography patterns of axillary and supraclavicular lymphadenopathy associated with mRNA COVID-19 vaccine

Cilt: 47 Sayı: 2 30 Haziran 2022
Veysel Kaplanoğlu , Hatice Kaplanoğlu *, Aynur Turan , Alper Dilli
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Cukurova Medical Journal Kapak Cukurova Medical Journal
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B-mode and Doppler ultrasonography patterns of axillary and supraclavicular lymphadenopathy associated with mRNA COVID-19 vaccine

Abstract

In this study, we present the ultrasound imaging features of lymph nodes arising in the regional lymph node chain after the first or second dose of the Pfizer-BioNTech COVID-19 vaccine. Ipsilateral lymphadenopathy adjacent to the vaccine injection site is an extremely rare but expected adverse reaction following COVID-19 vaccination. Although axillary lymphadenopathy is more common, cases of supraclavicular lymphadenopathy have also been reported after widespread vaccination against COVID-19. Ultrasonography examinations were performed on seven patients with no previous pathological conditions, who presented to our radiology department after receiving the Pfizer-BioNTech COVID-19 vaccine. Bilateral axillary, supraclavicular and subclavicular lymph node stations were explored. These patients typically present with enlarged hypoechoic lymph nodes with the loss of fatty hilum, asymmetric or diffuse cortical thickening, and increased hilar and cortical vascularization on the color doppler ultrasonography of the ipsilateral axillary and supraclavicular regions. Radiologists and clinicians should be aware of the ultrasonographic features of these lymph nodes and should inform the patient that these lymph nodes are often a self-limiting process. Thus, unnecessary axillary lymph node biopsies should be avoided, and patients should be treated conservatively.

Keywords

COVID-19 , mRNA vaccine , Supraclavicular , Lymphadenopathy , Ultrasonography

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Klinik Tıp Bilimleri

Bölüm

Olgu Sunumu

Yazarlar

Yayımlanma Tarihi

30 Haziran 2022

Gönderilme Tarihi

19 Mart 2022

Kabul Tarihi

26 Nisan 2022

Yayımlandığı Sayı

Yıl 2022 Cilt: 47 Sayı: 2

DOI

https://doi.org/10.17826/cumj.1089995

IZ

https://izlik.org/JA78KG56NA

Kaynak Göster

RIS / Bibtex
MLA
Kaplanoğlu, Veysel, vd. “B-mode and Doppler ultrasonography patterns of axillary and supraclavicular lymphadenopathy associated with mRNA COVID-19 vaccine”. Cukurova Medical Journal, c. 47, sy 2, Haziran 2022, ss. 891-7, doi:10.17826/cumj.1089995.
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