Soft Tissue - Supraclavicular Lymphadenopathy
Caption
This is a 60s y.o. gentleman w/ PMHx remote axillary abscess who was found to have a nontender supraclavicular mass. When scanning medial to lateral in the supraclavicular fossa, the mass is revealed to be a ~3x4cm lymph node. The wedge shaped hypoechoic structure seen represents the hilum, and color doppler reveals organized blood flow. Peripheral hypoechoic regions may represent necrosis. These findings are suspicious for malignancy vs reactive lymphadenopathy. Dr. Geoff Hogan Denver Health Residency in Emergency Medicine