Figure 2: Selected “enlarged” lymph nodes that are not congruent between axial and coronal/sagittal reviews, allowing for two selected lymph nodes within a single ipsilateral nodal level. (a) The largest “enlarged” lymph node in the axial plane measured 2.8 cm, 2.6 cm coronal, and 2.7 cm sagittal (b) a different lymph node was the largest “enlarged” lymph node on the coronal (3.3 cm) and sagittal (3.2 cm) images with a smaller axial lymph node (2.0 cm) than selected in the original axial review. This is an oropharyngeal primary SCCa with partially necrotic/cystic lymph nodes.