ANAMNESIS / SYMPTOMS:
A 74 year old patient suffers from a painful swelling in the right lateral cervical area after undergoing chemotherapy because of carcinomatosis of a malignant melanoma. On the right side of the neck a hard, rope-like structure is palpable.



FINDINGS
:
On the longitudinal image a hypoechoic rope-like structure is visualizable lying on the sternocleidomastoid muscle. It reaches up to the region of the parotid gland. On the colour-encoded Doppler´s sonogramm no blood flow is proovable.


DIAGNOSIS:
The patient is suspected of suffering from a thromobosis of the external jugular vein caused by catheterization for the purpose of applying chemotherapy because of carcinomatosis of a malignant melanoma. Further a thrombosis of the retromandibular vein is diagnosed.