Computed tomography scan of the neck without contrast showing enlarged bilateral lymph nodes. On the patient's left, the largest lymph node (4.1 × 2.7 cm; white arrow) has a central hypodensity (1.9 × 1.2 cm) consistent with fatty necrosis. Additionally, the right internal jugular (IJ) vein measured 0.95 cm in the greatest diameter whereas the left IJ vein was 0.24.