PET CT showed pathological increased FDG involvement of the left supraclavicular (suvmax: 4.5), aorticopulmonary (suvmax: 3.6), paratracheal (suvmax: 4.1), left tracheobronchial (suvmax: 5), left hilar (suvmax: 4.95), superior phrenic (suvmax: 5.1), paraaortic-aortocaval (suvmax: 8), common iliac (suvmax: 7.7), left external iliac (suvmax: 9), and left inguinale (suvmax: 7.15) lymph nodes.