Man 55 yo, lumbago for 3 months. MRI of spine showed some destructive spines suspecting metastasis and a big mass on left supraclavicular area. On ultrasound B- mode, it was a bilobed mass which has different echostructure . Color Doppler presented this hypovascular mass liked sandwich sign. On elastoscan one part of this mas was soft and another one was hard one. We did perform FNAC of this soft mass, removing easily the fluid liked milk; fluid analysis : gram staining= negative bacteria, bk negative, but cell block was adenocarcinoma.