Heterogeneously enhancing matted necrotic enlarged lymph nodes seen in left side (level ii, iii, iv, v), largest of size measuring approx 50 x 49 x 76 mm at level iii/ii causing mass effect with anterior displacement of submandibular gland. Fat plane with sternocleidomastoid muslce and submandibular gland are lost. Left internal jugular vein not separately delineated
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