Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
From the ultrasound findings, it is clear that you have an enlarged inguinal lymph node. The size is extremely small, and it can't be considered significant. Inguinal lymph nodes can be enlarged due to various causes, such as UTI, vulvar/vaginal infections, fungal infections, e.t.c. If one single lymph node is found to be enlarged in the inguinal area, it can be safely ignored. Because at times even in aymptomatic people one or two inguinal lymph nodes are found to be enlarged, even in absence of infections.
Now regarding the hernia. The hernia neck as defined in the ultrasound is very small,and it is highly unlikely that there will be further descent of the abdominal contents, through the neck. Indirect hernia, occus in young individuals due to muscular deficiency and if it's not enlarging in size, then no further treatment is required. Since it was well over 7 months back, it will be better if you can get another ultrasound done, just to assess the size of the neck of the hernia.
Now the lump you're feeling can be either of them, but most likely it will be the hernia. Because you already took antibiotics, and the lymph node should have disappeared. Since you have monitored and it has not increased in size, there is no reason to worry as of now. However, i will still like to see a recent ultrasound.
Once you get the ultrasound done, you can upload the report and i will guide you further,
Regards.