Ultrasound-guided aspiration was positive for TB.

Cervical lymphadenitis is a common presentation of extrapulmonary tuberculosis.

It is a common presentation in endemic regions and its incidence is on the increase in HIV and immunocompromised patients.

Low-density lymph nodes are a characteristic feature of TB of the neck, necrotic metastasis can give a similar appearance, especially in head and neck squamous cell cancer, but for the age group of this patient would it be very atypical.