Fig. 13From: Vocal cord paralysis: anatomy, imaging and pathology Lymph node metastasis in the neck from oropharyngeal squamous cell carcinoma.A 66-year-old man with a history of smoking and alcohol abuse presenting with a swelling on the right side of the neck and right VCP. Coronal contrast enhanced CT images showed a large lymph node conglomerate at level IIb (arrow) on the right side of the neck, with necrosis, extra nodal spread and extensive involvement of the right carotid space explaining the right VCP in this patientBack to article page