Ultrasound and shear-wave elastography patterns of COVID-19 mRNA vaccine-related axillary, supra and subclavicular lymphadenopathy.

Covid-19 Lymphadenopathy Shear-wave elastography Ultrasound Vaccine mRNA vaccine

Journal

Clinical and translational imaging
ISSN: 2281-5872
Titre abrégé: Clin Transl Imaging
Pays: Italy
ID NLM: 101616225

Informations de publication

Date de publication:
2021
Historique:
received: 21 05 2021
accepted: 09 06 2021
pubmed: 29 6 2021
medline: 29 6 2021
entrez: 28 6 2021
Statut: ppublish

Résumé

In this pictorial essay, we illustrate the ultrasound appearance of COVID-19 Pfizer-BioNTech vaccine-related lymph node abnormalities, which can occur at different stations ipsilateral to the site of vaccination, after either first or second vaccine dose and can represent a diagnostic dilemma when encountered in patients with underlying conditions. Typically, they appear as enlarged hypoechoic nodes with loss of fat hilum, increased hilar and cortical vascularization at color-Doppler, but low to intermediate cortical consistence at shear-wave elastography. Asymmetric or diffuse cortical thickening is also frequently encountered. They can be observed in patients without and with clinical symptoms, such as armpit pain, fever and fatigue.

Identifiants

pubmed: 34178877
doi: 10.1007/s40336-021-00441-0
pii: 441
pmc: PMC8211958
doi:

Types de publication

Journal Article

Langues

eng

Pagination

539-545

Informations de copyright

© The Author(s) 2021.

Déclaration de conflit d'intérêts

Conflict of interestAll the authors declare that they have no conflict of interest.

Références

Clin Imaging. 2021 Jul;75:12-15
pubmed: 33486146
N Engl J Med. 2021 Apr 15;384(15):1412-1423
pubmed: 33626250
AJR Am J Roentgenol. 2021 Oct;217(4):857-858
pubmed: 33624520
Harefuah. 1990 Oct;119(7-8):199-200
pubmed: 2258094
N Engl J Med. 2020 Dec 31;383(27):2603-2615
pubmed: 33301246
Radiol Cardiothorac Imaging. 2021 Feb 03;3(1):e210008
pubmed: 33778667
PLoS One. 2019 Aug 15;14(8):e0221062
pubmed: 31415610
World J Surg. 2012 Jan;36(1):46-54
pubmed: 22037691
Ann Nucl Med. 2012 Apr;26(3):248-52
pubmed: 22271546
Radiology. 2021 Jul;300(1):E296-E300
pubmed: 33625300
Radiology. 2021 Aug;300(2):E323-E327
pubmed: 33625298
Pharmacotherapy. 2008 Sep;28(9):1194-7
pubmed: 18752390

Auteurs

Divina D'Auria (D)

Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.

Ludovica Fulgione (L)

Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.

Valeria Romeo (V)

Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.

Arnaldo Stanzione (A)

Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.

Simone Maurea (S)

Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.

Arturo Brunetti (A)

Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.

Classifications MeSH