CTICasesVirchow's node metastasis
Imaging findings
Chest CT in a patient with endometrial carcinoma shows a new, enlarged left anterior scalene supraclavicular lymph node that demonstrates FDG avidity on PET CT, in the absence of any intervening mediastinal or hilar lymphadenopathy.
Key takeaways
Virchow's node represents metastasis to the left supraclavicular lymph node from a primary intra-abdominal malignancy. Tumor cells can bypass mediastinal lymph nodes by traveling directly through the thoracic duct, which drains into the left subclavian vein near this nodal station.
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