case_images: PMC7232044_01
case_images: Sagittal section from the computed tomography (CT) scan of chest, abdomen,
  and pelvis taken in August 2018 demonstrating widespread boney metastatic
  deposits particularly affecting the sternum and vertebral bodies.
case_images: 10.1177_2324709620918080-fig1.jpg
case_images: PMC7232044_01_10.1177_2324709620918080-fig1.jpg
case_images: fig1-2324709620918080
case_images: Imaging with computed tomography (CT) confirmed extensive disseminated malignancy with nodal, pleural, peritoneal, liver, and renal metastases (Figure 1).
case_images: Photomicrographs "A" and "B" are from the supraclavicular fossa nodal biopsy.
  "A" shows poorly differentiated carcinoma. "B" shows staining for
  alpha1-antichymotrypsin. Photomicrographs "C" and "D" are from his original
  parotidectomy specimen. "C" shows appearances of acinic cell carcinoma. "D"
  demonstrates immunostaining with focal expression of ACTH (as indicated by
  the red arrow).
case_images: 10.1177_2324709620918080-fig2.jpg
case_images: PMC7232044_01_10.1177_2324709620918080-fig2.jpg
case_images: fig2-2324709620918080
case_images: Biopsy from a supraclavicular fossa node showed poorly differentiated carcinoma infiltrating within fat (Figure 2).