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.

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.