Clinically the patient was suspect of inflammatory cervical node enlargement according to her age and lack of a relevant history. Cervical nodes were worrisome in B-mode US, with nodular thickening of the cortex, displaced hilum and displaced hilar vessels on colour Doppler US. CEUS finding of nodular almost non-enhancing areas made the possibility of metastatic involvement seem very probable. Fine -needle aspiration of the node and CT scan showed metastatic lung adenocarcinoma.
Please compare these findings with those of a inflammatory node, in which CEUS show homogeneous enhancement: