A 35-year-old woman with papillary thyroid cancer.Neck computed tomography reveals that a suspicious lymph node (arrowheads) in the left neck level VI region, posterior to an ipsilateral malignant thyroid nodule (not shown), has a taller than wide shape with moderate enhancement. However, ultrasonogram did not show a definite metastatic lymph node. This lymph node was surgically confirmed as metastatic papillary carcinoma.