The patient has a case of non-touch panendo with suspected cup syndrome with histologically confirmed cervical lymph node metastasis on the left by coarse needle biopsy. The PET-CT shows a flat asymmetry of the enhancement in the area of the tonsil on the left more than on the right. In the ENT mirror findings, the left tonsil can be palpated discretely harder than the right, otherwise no suspicious mass. Based on the medical history and clinical findings, indication for the above-mentioned procedure.