Figure 1

Coronal reformatted computed tomography image of the initial contrast enhanced chest scan shows rim-enhancing enlarged lymphnodes left supraclavicular between the sternocleidomastoid and the scalene muscles (A, short arrow) and furthermore conglomerate-like tumors in the right upper mediastinum (A, long arrow). Histologically the lymph node shows infiltrations of a papillary adenocarcinoma (B: H&E, x100 / C: H&E, x400).