65-year-old male with history of tonsillar carcinoma, now with palpable lymph node. A focused examination was performed in the region of the palpable abnormality just superior to the right clavicle at the base of the neck laterally. In this location there is a rounded, mildly hypoechoic solid lymph node measuring 0.7 x 0.9 x 1 cm. This appears to have abnormal vasculature.
Highly suspicious right supraclavicular lymph node. This would be amenable to fine-needle aspiration.