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Fig. 4. —Axial contrast-enhanced CT scan of neck through level of hyoid bone in 57-year-old man with squamous cell carcinoma of pharynx. White line has been drawn through posterior edge of right sternocleidomastoid muscle (Sc). Note conglomerate mass of necrotic level IIA nodes in right neck posterior to submandibular gland (S). Small necrotic level VA nodes are also present on right side.