case_images: PMC11073517_01
case_images: Painless ulcer with a nonexudative base in the left supraclavicular fossa that developed from an enlarged lymph node.
case_images: 1678-9849-rsbmt-57-e00912-2024-gf1.jpg
case_images: PMC11073517_01_1678-9849-rsbmt-57-e00912-2024-gf1.jpg
case_images: f1
case_images: Physical examination revealed non-tender cervical lymph nodes without fluctuance or discharge and a painless ulcer in the left supraclavicular fossa with a non-exudative base (Figure 1).
case_images: Axial plane thoracic computed tomography images show bilateral pleural effusion, ground-glass opacity in the left lung (white arrow on image A), and a tree-in-bud pattern in the right lung (blue arrows on images A and B).
case_images: 1678-9849-rsbmt-57-e00912-2024-gf2.jpg
case_images: PMC11073517_01_1678-9849-rsbmt-57-e00912-2024-gf2.jpg
case_images: f2
case_images: Chest computed tomography revealed bilateral pleural effusion, ground-glass opacity in the left lung, and a tree-in-bud pattern in the right lung (Figure 2).
case_images: The left supraclavicular ulcer shows complete healing 14 weeks after starting antituberculosis therapy.
case_images: 1678-9849-rsbmt-57-e00912-2024-gf3.jpg
case_images: PMC11073517_01_1678-9849-rsbmt-57-e00912-2024-gf3.jpg
case_images: f3
case_images: Fourteen weeks after initiating therapy, the patient exhibited weight gain, symptom resolution, and complete ulcer healing in the left supraclavicular fossa with no further enlargement of the cervical lymph nodes (Figure 3).