Metastatic cervical lymphadenopathy: probable
Right sided neck swelling noticed for last 2-3 weeks. Alcoholic.
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There is a well-defined solid mass lesion in right anterior triangle above level of carotid bifurcation.
Cranially lesion abuts the parotid gland. Medially, it abuts the submandibular gland and external carotid artery. Internal carotid artery is posterior to lesion.
Lesion sIze: 52 x 32 x 24 mm.
Lesion is hypoechoic with few tiny echogenic foci: ? calcification. There are no cystic spaces within. Lesion shows vascularity.
Rest of the neck examination was normal.
Findings favour metastatic cervical lymphadenopathy.
CT scan done later showed a growth at base of tongue.