55 year-old female with endometrial cancer. Now with supraclavicular lymph nodes and cough. Images through the skull base including cavernous sinuses, petrous bones and paranasal sinuses remain within normal limits.Images through the soft tissues of the neck demonstrate a small midline cystic structure in the nasopharynx which is believed to represent a Tornwaldt cyst with questionable clinical significance.There is suggestion of a cyst within the right tonsil suspect that of a retention cyst with no enhancement.Images the level of the left supraclavicular region demonstrate minimal soft tissue thickening immediately posterior to the left scalene muscle. There is no evidence of enhancement of this soft tissue prominence. This finding may represent a lymph node. This area is somewhat obscured by contrast material that was injected from the left side. Further evaluation with an MRI is recommended. This finding is best appreciated on axial image 66 to 71. No evidence of any additional area of suspected lymph node is present. Extensive degenerative changes of cervical spine with multilevel neuroforamina compromise is noted.
Only minimal soft tissue fullness in the left supraclavicular region with no distinct lymph node or enhancement as detailed above. Further follow-up with an MRI is recommended to exclude lymphadenopathy.