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Fig. 2B. 44-year-old man with lymphoma. ad = anterior belly of digastric
muscle, S = submandibular gland, vn = internal jugular vein, Sc =
sternocleidomastoid muscle. Axial contrast-enhanced CT scan of neck through
floor of mouth and at level of hyoid bone. Because level is cranial to that of
bottom of body of hyoid bone, internal jugular nodes are classified as level
II, not level III. On each side of neck, transverse white line (Ant) has been
drawn through posterior edge of each submandibular gland. Second white line
(Post) has been drawn through posterior edge of each sternocleidomastoid
muscle. Nodes anterior to line (Ant) are level I nodes. Nodes between line
(Ant) and line (Post) are level II nodes. Nodes posterior to line (Post) are
level V nodes. Because level V nodes are cranial to level of bottom of body of
cricoid cartilage arch, they are subclassified as level VA nodes.