Figure 1

Computed Tomography at Presentation. Panel A. Chest CT demonstrating enlarged lymph node (LAD) in the azygoesophageal recess measuring 2.8 cm × 2.3 cm. Note the anterior deviation of the trachea. Az (azygous vein), Ao (aorta), Vb (vertebral body), SVC (superior vena cava). Panel B. Abdominal CT demonstrating multiple enlarged centrally necrotic retroperitoneal lymph nodes. The largest conglomerate, left periaortic lymph nodes, measured 5.5 cm × 5.0 cm. White arrows point to additional masses with central necrosis. Panel C, Abdominal CT demonstrating bilateral common iliac lymphadenopathy (C = common iliac artery).