Fig. 2

Changes in images from computed tomography (CT) scans (A–D) and chest X-rays (Xp) (E), and macroscopic appearances of the patient’s neck (F) during her clinical course. Enlarged pre-laryngeal lymph node (LN), lung metastasis, left adrenal metastasis, and cystic lymph nodes in the neck and mediastinum are shown in A–D, respectively