The evaluation of cervical lymph nodes is one of the main indications for p
erforming CT and MR imaging of the neck. Imaging may be done for evaluation
of an unknown neck mass, but more commonly the neck is imaged to evaluate
potential metastasis from a known mucosal malignancy. CT and MR imaging cha
racteristics of both malignant and nonmalignant nodal diseases are reviewed
and the differential diagnosis of nodal pathologies for specific imaging f
indings are discussed. A recently proposed imaging-based nodal classificati
on for metastatic nodal diseases from head and neck cancer is also describe
d.