Double neck lymph node echo grade 2 if there is no pain, can not be treated, just need to follow the observation; if there is pain, can be anti-infection treatment. Color ultrasound lymph node echo grading is often divided into 5 levels, the higher the level of malignancy is more likely, the general echo level 2 is mostly benign lesions. The most common cause of benign lymph nodes in the neck is the inflammation around the neck, such as the mouth, teeth, throat, ears, etc., which causes reactive enlargement and hyperplasia of the lymph nodes in the neck. If there is pain in the lymph nodes during the acute stage, you can take levofloxacin, cefuroxime and other drugs for anti-infective treatment, after the inflammation subsides, the lymph nodes may gradually shrink, but generally will not disappear completely, but it will not have any effect on the body, and you only need to follow up regularly for re-examination. If the examination reveals that the lymph nodes in both necks have grade 2 echogenicity, it is recommended to go to the hospital for further evaluation of the need for treatment, and the medication should be applied under the guidance of the doctor.