CTICasesMetastatic Gastric Carcinoma presenting with Virchow Node
Imaging findings
CT chest shows extensive, asymmetric left supraclavicular lymphadenopathy (Virchow node) and upper mediastinal adenopathy, with a striking absence of subcarinal or hilar lymphadenopathy. Primary tumor was confirmed as gastric adenocarcinoma.
Key takeaways
Virchow node (metastatic enlargement of the left supraclavicular node) is a classic presentation of abdominal malignancies, especially gastric cancer. The lymphatic drainage bypasses the lower mediastinal nodes, leading to isolated upper mediastinal and supraclavicular nodal disease mimicking lymphoma.
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