Cervical lymphadenopathy (CL) is an abnormal swelling or enlargement of the lymph nodes in the neck. The cervical lymph nodes drain the scalp, skin, oral cavity, larynx, and neck. The most common causes of CL are; infection, malignancy, bacterial pharyngitis, dental abscess, ear infections, infectious mononucleosis, head and neck cancer especially in older patients with history of smoking, thyroid cancer, lymphoma, and tuberculosis (Magsi, Jamro, Shaikh, & Sangi, 2013). The workup for CL consist of a comprehensive history and physical examination, laboratory tests, imaging studies, and sometimes tissue biopsy may be indicated. The history should focus upon demographic information (sex, race, ethnicity, age, occupation, place of residence), the clinical course (acute, subacute, or chronic), constitutional symptoms (fever, night sweats, fatigue, weight loss, sore throat), exposure history (pets, medications, infectious disease), high risk behavior (sexual behavior and substance abuse), family history (malignancy, tuberculosis and others). The physical exams should assess the lymph nodes for size, tenderness, consistency, location, and fixation. Cervical nodes greater than 1cm in adults are considered abnormal. Imaging can identify the size and distribution of the node…