Computed tomography of the cervical lymph nodes: use of intravenous contrast enhancement.

Intravenous contrast administration increases the sensitivity of computed tomographic scanning for enlarged cervical lymph nodes but requires a detailed knowledge of neck anatomy, especially in order to distinguish certain normal vessels from involved nodal groups. Along the collar chain, relations between the parotid and submandibular salivary glands and the posterior and anterior facial veins and facial artery are analyzed. The digastric muscle is defined as a transitional landmark between collar and deep cervical nodes. Along the deep cervical chain, emphasis is on the internal jugular vein, its variability in size, and its relations to the anterior scalene and omohyoid muscles.