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Metastatic Testicular Cancer

Imaging findings

An isolated, new node in the left supraclavicular fossa (Virchow's node) in a patient with a history of testicular cancer.

Key takeaways

The left supraclavicular fossa is a "thoracic duct expressway." When evaluating for recurrence, especially in GU malignancies, pay close attention to this blind spot as it can be the sole site of metastasis.

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