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Training Collections
Library Memberships
Black Friday Save 30%On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Black Friday Save 30%Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Black Friday Save 40%Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
BLACK FRIDAY SAVE 30%Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
7 topics, 29 min.
18 topics, 1 hr. 26 min.
Principles of T Staging of Oral Cavity Squamous Cell Malignancy
4 m.Principles of N and M Staging of Oral Cavity Squamous Cell Malignancy
6 m.Diagnosis of Oral Tongue Squamous Cell Malignancy
6 m.T Staging of Oral Tongue Squamous Cell Malignancy
6 m.N and M Staging of Oral Tongue Squamous Cell Malignancy
5 m.Diagnosis of Buccal Mucosal Squamous Cell Malignancy
4 m.T Staging of Buccal Mucosal Squamous Cell Malignancy
3 m.N and M Staging of Buccal Mucosal Squamous Cell Malignancy
3 m.Diagnosis of Alveolar Mucosal Squamous Cell Malignancy
7 m.T Staging of Alveolar Mucosal Squamous Cell Malignancy
6 m.Diagnosis of Retromolar Trigone Squamous Cell Malignancy
6 m.T Staging of Retromolar Trigone Squamous Cell Malignancy
5 m.Diagnosis of Hard Palate Squamous Cell Malignancy
4 m.T Staging of Hard Palate Squamous Cell Malignancy
4 m.Diagnosis of Floor of Mouth Squamous Cell Malignancy
9 m.T Staging of Floor of Mouth Squamous Cell Malignancy
6 m.N and M Staging of Floor of Mouth Squamous Cell Malignancy
5 m.Marrow Infiltration and Perineural Infiltration in the Oral Cavity
5 m.7 topics, 24 min.
21 topics, 1 hr. 9 min.
Anatomy and Boundaries of the Oropharynx
4 m.Anatomy of the Tongue Base
4 m.Anatomy of the Palatine Tonsil
4 m.Anatomy of the Soft Palate
3 m.Anatomy of the Posterior Oropharyngeal Wall
3 m.Oropharyngeal SCC of the Base of Tongue
4 m.Oropharyngeal Carcinoma: Nodal Drainage and Differential Dx
5 m.Staging Oropharynx Cancer, T-staging
4 m.Staging Oropharynx Cancer, N-Staging
6 m.Oropharynx - Base of Tongue SCC: T-Staging
3 m.Base of Tongue Oropharyngeal Carcinoma, N & M Staging
3 m.Oropharynx - SCC of the Palatine Tonsil
4 m.Oropharynx - Palatine Tonsil SCC: Paths of Spread
5 m.Oropharynx - Lymphadenopathy and HPV-Related SCC
3 m.Oropharynx - Palatine Tonsil SCC - T Staging
4 m.Oropharynx - Palatine Tonsil SCC - N/M Staging
4 m.Oropharynx - SCC of the Soft Palate
3 m.Oropharynx - SCC: Paths of Spread and Differential Dx
4 m.Oropharynx - Soft Palate SCC: Nodal Drainage
2 m.Oropharynx - Soft Palate SCC - TNM Staging
3 m.Oropharynx - Base of Tongue Mucoepidermoid Carcinoma
5 m.18 topics, 56 min.
Hypopharynx anatomy
4 m.Hypopharynx - The Piriform Sinus Anatomy
5 m.Hypopharynx - The Postcricoid Space Anatomy
4 m.Hypopharynx - The Posterior Hypopharyngeal Wall Anatomy
5 m.Hypopharynx - Piriform Sinus SCC
5 m.Hypopharynx - Piriform Sinus Carcinoma - Local Spread
4 m.Hypopharyngeal SCC - Nodal Drainage
3 m.Hypopharyngeal SCC - Differential Dx
2 m.Hypopharyngeal Carcinoma - T Staging
3 m.Hypopharyngeal SCC - N Staging
3 m.Hypopharynx - Piriform Sinus SCC - T Staging
5 m.Hypopharynx - Piriform Sinus SCC - N/M Staging
4 m.Hypopharynx - Postcricoid Space SCC
4 m.Hypopharynx - Postcricoid Space SCC - Local Spread
4 m.Hypopharynx - Postcricoid SCC - Differential Diagnoses
2 m.Hypopharynx - Postcricoid Space SCC: T Staging
3 m.Hypopharynx - Postcricoid Space SCC - N/M Staging
3 m.Hypopharynx - Changes in AJCC Staging Guidelines
4 m.18 topics, 1 hr. 3 min.
Larynx Anatomy
5 m.Larynx Anatomy: Supraglottic, Glottic, and Subglottic Sites
9 m.The Supraglottic Larynx
4 m.The Glottic Larynx.
3 m.The Subglottic Larynx
3 m.Laryngeal SCC - T Staging
7 m.Laryngeal SCC - Cartilage Invasion
4 m.Laryngeal SCC: Local and Nodal Extension
4 m.Supraglottic SCC- Differential Diagnoses
3 m.Laryngeal SCC: Glottic Origin
5 m.Larynx - Glottic SCC: Patterns of Local Spread
4 m.Laryngeal SCC of the Subglottis
3 m.Larynx - Subglottic Carcinomas: Patterns of Spread & Differential Dx
3 m.Laryngeal SCC: T Staging
4 m.Larynx - Glottic SCC: T Staging
3 m.Laryngeal SCC: N Staging
2 m.Glottic SCC: T Staging
4 m.Laryngeal SCC: N and M Staging
3 m.5 topics, 14 min.
3 topics, 16 min.
0:01
Hello everyone. It's Dr. Sidney Levy.
0:02
3 00:00:04,580 --> 00:00:08,150 Today, I'd like to discuss level 6 of the
0:08
lymph node levels of the neck, otherwise known as the
0:10
anterior compartment, or the prelaryngeal,
0:14
pre- and paratracheal lymph nodes within the neck.
0:18
I would like to use pre-contrast T1-weighted imaging
0:21
to demonstrate the boundaries and landmarks that you
0:24
need to be aware of in order to identify level 6.
0:27
The first thing to remember is that
0:29
level 6 is an anterior and medial level.
0:34
Related to the visceral space, i.e.,
0:37
the thyroid gland and adjacent structures.
0:41
The most important landmarks are the common
0:45
carotid or internal carotid arteries.
0:48
Level 6 is bounded laterally and posteriorly
0:52
by levels 2, 3, and 4.
0:57
These are the common carotid arteries.
1:02
So the first thing we need to be aware of
1:03
is the medial margins of those.
1:06
You may notice that in this particular study,
1:09
there is abnormal soft tissue in the vicinity
1:13
of the postcricoid space or hypopharynx.
1:15
I won't discuss that any further as we cover it
1:18
in another vignette, but this patient has a post-
1:20
cricoid tumor, so that's why it looks abnormal.
1:25
The other boundaries you need to be aware
1:26
of are the superior and inferior boundaries.
1:30
So on the sagittal projection,
1:32
you're interested in the manubrium.
1:35
It's here, and we go all the way up
1:39
to the inferior margin of the hyoid.
1:41
Hyoid is here.
1:43
So anything which is medial to the common or internal
1:49
carotid arteries, and is situated between the inferior
1:53
margin of the hyoid and the manubrium, is within level 6.
1:58
And lastly, let me draw that for you.
2:03
This area here, which includes the visceral space, including
2:06
midline lymph nodes when present, such as the Delphian lymph
2:10
node, that all belongs in level 6 and is of particular
2:15
consideration with thyroid, laryngeal, or pharyngeal tumors.
2:22
In our next vignette, we will discuss level 7.
Interactive Transcript
0:01
Hello everyone. It's Dr. Sidney Levy.
0:02
3 00:00:04,580 --> 00:00:08,150 Today, I'd like to discuss level 6 of the
0:08
lymph node levels of the neck, otherwise known as the
0:10
anterior compartment, or the prelaryngeal,
0:14
pre- and paratracheal lymph nodes within the neck.
0:18
I would like to use pre-contrast T1-weighted imaging
0:21
to demonstrate the boundaries and landmarks that you
0:24
need to be aware of in order to identify level 6.
0:27
The first thing to remember is that
0:29
level 6 is an anterior and medial level.
0:34
Related to the visceral space, i.e.,
0:37
the thyroid gland and adjacent structures.
0:41
The most important landmarks are the common
0:45
carotid or internal carotid arteries.
0:48
Level 6 is bounded laterally and posteriorly
0:52
by levels 2, 3, and 4.
0:57
These are the common carotid arteries.
1:02
So the first thing we need to be aware of
1:03
is the medial margins of those.
1:06
You may notice that in this particular study,
1:09
there is abnormal soft tissue in the vicinity
1:13
of the postcricoid space or hypopharynx.
1:15
I won't discuss that any further as we cover it
1:18
in another vignette, but this patient has a post-
1:20
cricoid tumor, so that's why it looks abnormal.
1:25
The other boundaries you need to be aware
1:26
of are the superior and inferior boundaries.
1:30
So on the sagittal projection,
1:32
you're interested in the manubrium.
1:35
It's here, and we go all the way up
1:39
to the inferior margin of the hyoid.
1:41
Hyoid is here.
1:43
So anything which is medial to the common or internal
1:49
carotid arteries, and is situated between the inferior
1:53
margin of the hyoid and the manubrium, is within level 6.
1:58
And lastly, let me draw that for you.
2:03
This area here, which includes the visceral space, including
2:06
midline lymph nodes when present, such as the Delphian lymph
2:10
node, that all belongs in level 6 and is of particular
2:15
consideration with thyroid, laryngeal, or pharyngeal tumors.
2:22
In our next vignette, we will discuss level 7.
Report
Description
Faculty
Sidney Levy, PhD, MBBS
Radiologist and Nuclear Medicine Specialist
I-MED
Tags
Neuroradiology
Neuro
Neoplastic
MRI
Lymph Nodes
Head and Neck
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