Findings : Hypertropy of the lingual tonsils is noted. Mild enlarged but non pathologically enlarged Left level 2a lymph node is noted. Additional small lymph nodes in the left jugular. Internal chain are noted Bilaterally. There is no pathological adenopathy. No soft tissue mass. July sinuses are clear. Impression: Bilaterally enlarged but non pathological enlarged internal jugular chain nodes most likely reactive. What does this mean? I've been tested for Lyme disease, lymphoma, cat scratch, syphillis, tuberculosis, AIDS, Mono. Everything is negative. I talk funny and some of my teeth hurt,my neck and shoulder. What can this be? They said cervical lymphadenopathy but what is causing it?