Multiple small lymph nodes in the carotid sheaths bilaterally, depending on the cause of the lymph nodes, if they are caused by bacteria or viruses, reactive hyperplasia of the lymph nodes is usually not serious, and if they are metastatic lymph nodes from tumors or lymphomas, they may be more serious.
If the lymph node enlargement is caused by bacterial or viral infection, such as respiratory tract infection, gingivitis, rhinitis, pharyngolaryngitis, etc., it can be relieved after anti-inflammatory and anti-viral treatments are given, and is usually not serious.
If the lymph nodes are metastasized from tumor or lymphoma, then it is more serious. For example, lung cancer neck lymph node metastasis, thyroid cancer neck lymph node metastasis, laryngeal cancer neck lymph node metastasis and lymphoma. The appearance of this situation generally suggests local metastasis or distant metastasis of the tumor, and the situation is more serious.
The appearance of multiple small lymph nodes in carotid artery sheath should seek medical treatment in time and under the guidance of doctors, so as to avoid delaying the condition.