PMC4891623_01
Coronally reformatted CECT of the neck demonstrates multiple areas of necrotic, left supraclavicular lymphadenopathy. Powerpoint Slide]
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PMC4891623_01_gr1.jpg
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Contrast enhanced computed tomography (CECT) of the neck, chest, abdomen and pelvis was performed and showed extensive left supraclavicular adenopathy, as well as extensive retroperitoneal adenopathy, displacing the pancreas superiorly, and encasing the aorta (Figure 1, Figure 2).
A. Axial CECT of the upper abdomen demonstrates multiple hepatic metastases (green arrowheads), with a large area of necrotic subhepatic lymphadenopathy (yellow arrow), and bulky paraortic disease (yellow arrowhead). B. Axial CECT at a lower level again demonstrates extensive, bulky retroperitoneal lymphadenopathy, encasing the aorta, and displacing the bowel anteriorly. [Powerpoint Slide]
gr2.jpg
PMC4891623_01_gr2.jpg
fig2
Contrast enhanced computed tomography (CECT) of the neck, chest, abdomen and pelvis was performed and showed extensive left supraclavicular adenopathy, as well as extensive retroperitoneal adenopathy, displacing the pancreas superiorly, and encasing the aorta (Figure 1, Figure 2).