ANAMNESIS / SYMPTOMS:
A 65 year old patient reports about a since 4 weeks existing swelling of the right neck and increasing difficulties in swallowing.



FINDINGS
:
On the left side of the neck a spherical, hypoechoic tumour with distal signal amplification and an extent of 22 x 20 x 16 mm is visible at the level of the venous angle that borders medial on the sternocleidomastoid muscle. On the left neck a big, partly inhomogenous echo-reflecting structure with a size of 4 x 5 cm is recognizable that is infiltrating the sternocleidomastoid muscle and is lying immediately on the internal jugular vein.


DIAGNOSIS:
The patient is suspected of having a bilateral carcinomatosis of the neck with a carcinoma of the hypopharynx as the underlying disease.



Informations on the internet:

1) AWMF
2) ACO