In the patient, a cT2 cN0 oropharyngeal carcinoma on the left was histologically confirmed during a panendoscopy. The CT scan showed the tumor in direct contact with the internal carotid artery without any definite signs of infiltration. In addition, a subtotal thrombosis of the left internal jugular vein was found. Sonographic and computed tomographic findings of cN0 neck status without evidence of distant metastases.