Cervical ultrasonography contribution to the stage evolution and treatment option in lung cancer

We present a 46 year old, smoker woman referred in an outpatient setting with persistent dry cough after an acute upper airways infection. Physical examination revealed only an enlarged right supraclavicular area, but nonpalpable lymph nodes. Ultrasonographic – examination (7MHz) showed a 27/25mm limph node with anterior mediastin protrusion and in contact with the right carotide artery and right subclavicular artery; many other hypoechogen structures