ANAMNESIS / SYMPTOMS :
A patient with chronic lymphocytic leucemia (CLL) complains about a swelling in the right supraclavicular region. It is very painful to the touch and slightly reddened.


FINDINGS:
On the right side of the neck above the common carotid artery shows a diffusely bordered, inhomogenous echoic tumour, which is not clearly definable from the surrounding tissue and is infiltrating the sternocleidomastoid muscle. Caudal to the tumour the thyroid gland is visible.


DIAGNOSIS:
The patient is suspected of having a cervical abscess or an abscess formation of a lymphatic node with CLL as the underlying disease.