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Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 45952
Experience:  Experienced Physician trained in New York City. I'm ready to help.
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I have a hypo echoic solid,mild peripheral with some

Customer Question

I have a hypo echoic solid,mild peripheral with some vascularity nodule. No fatty hilus present. possibly reactive node vs other mass. located posterior to teh left ureter lobe. What exactly is this?
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Yes recently completed us, no medications.
JA: Anything else in your medical history you think the doctor should know?
Customer: Started with lump in front of left ear, no other symptoms
JA: How long have you had the lump? Is it hard or soft?
Customer: Painless, hard, very small 0.6x0.5x0.3cm, I received results from ultrasound but dont quite understand them.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. David replied 1 year ago.

This is Dr. David

sounds like you had an ultrasound of your pelvis which saw this lymph node behind the ureter which is the tube which carries the urine from your kidneys down into your bladder.

0.6 x 0.5 x 0.3cm in size is very small, and is normal sized for a lymph node.

this is not worrisome for cancer.

and can be watched.

your doctors may recommend doing another ultrasound in 3-6 months time to see if this area looks the same in 3-6 months

so you don't have to worry about it.

let me know if you have other questions.

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Expert:  DrRussMD replied 1 year ago.


Neuromuscular health would mean a healthy nervous system, muscular system, and the junction.

There are no specific supplements.

You need nutrient dense food.

Supplements are isolates and taking them out of food often causes long term harm.

With a couple of exceptions.

If your doctor will order a magnesium, if it is bellow 2.5 you need to supplement for a while.

Vitamin D. IF this is below 40 most doctor that are knowledgeable about this will supplement.

Thyroid function should be checked.

Also: routine labs.


CPK to look for muscle problems.

ANA to look for autoimmune problems.

OK, so you might have more questions or want to give me more information: Please use reply to expert if you have further questions. Also, please click a positive rating [hopefully excellent—that’s how we are paid, per rating]. If you forgot something, just use reply and come back. I am here
Expert:  Dr. David replied 1 year ago.

this is Dr. David

that other response was from another expert and was an error in the system

and didn't address your question.

did you see my response above?

let me know if you have other questions.

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