There is no supraclavicular lymphadenopathy. Active abduction is limited to 80º. He has 4/5 biceps strength, 5/5 triceps strength, and 5/5 motor strength distally in the left upper extremity.

Because cancer cells tend to spread through lymph nodes in a specific pattern, a cancer specialist known as an oncologist can usually tell how advanced the cancer is. Supraclavicular lymph nodes ...

In addition there were multiple small cervical lymph nodes palpable bilaterally. There was also a left supraclavicular lymph node 2 cm in diameter. Examination of the heart and lungs was normal.