Hypoechoic lymph node with loss of normal central fatty hilum on my 6 year old daughter's ultrasound report

My 6 year old daughter has had a noticeable lump on her neck since beginning of February. The pediatrician confirmed that it was a swollen lymph node which is normal (and we have found swollen lymph nodes on my daughter before) and it would go away on its own. It never got any smaller so when we were at her ENT appointment 2 weeks ago I asked the ENT to feel the lymph node. He suggested we do an ultrasound just to check it out. Our follow up appointment isn't until May 18th and I've been calling asking to speak to the doctor and haven't heard back. I read the ultrasound report and after googling (I know, stupid move), I'm feeling super anxious, so if anyone could read below and just give me an idea of if this is worrisome or still considered "normal", I would be so appreciative.

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Dedicated images of the neck show a 1.2 x 0.5 x 1.1 cm right level V lymph node with loss of normal central fatty hilum and diffuse hypoechogenicity. On the left, same level, there is a 1.1 x 0.4 x 1.2 cm lymph node benign-appearing lymph node with normal central fatty hilum. Both lymph nodes have normal vascularity.

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IMPRESSION: Palpable lump on the right corresponds to a hypoechoic lymph node with loss of normal central fatty hilum. This may be due to inflammatory or infectious process versus reactive in etiology. Recommend clinical follow-up.
Other benign-appearing lymph nodes scattered.

Posted May 4, 2022, 1:46 AM UTC

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