Age: 69 Yrs

Sex: Male

Complaints: Neck swelling.

Case study:  An heterogenous appearing mass lesion measuring ~4.5 x 1.5 cm noted in the right postero-lateral aspect of neck involving the level III and VA with tiny calcifications and multiple irregular cystic lesions, largest measuring ~3.3 x 2.6 cm with internal echoes.

Images:

Conclusion: Solid heterogenous mass lesion in the right lateral aspect of neck involving level III and VA with cystic changes as described (TIRADS category 5).  ? Metastatic lymphnode.