Esophageal carcinoma

Discussion:

A case of esophageal carcinoma with metastatic and necrotic lymph adenopathy (provisional stage III- T3, N2, cM0).

The left clavicular companion shadow is absent. This may be normal or due to regional pathology.

In this instance, a large, necrotic, left supraclavicular lymph node was clinically present, confirmed on ultrasound. A guided FNA revealed metastatic squamous cell carcinoma.

A chest X-ray, CT neck and chest were requested for review and initial staging.

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