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Fig. 13A. —42-year-old man with palpable nodes in submandibular area that were subsequently proven to be Kimura's disease. Gray-scale sonogram shows submandibular lymph node (arrows) is hypoechoic, is round, and has echogenic hilus (arrowheads). Gray-scale sonographic appearance is similar to that of reactive nodes except that lymph nodes in Kimura's disease tend to be round and are located in the vicinity of the salivary glands.