My mother sufering from supraclavicular lymph nodes since two years.no tb symptoms like fever no weight loss no fatigue.she is diabetic since 2 and half years sugar under control.no fluid found in nodes for CBNAAT. USG:enlarged hypoechoic left supraclavicular lymph nodes 10×7mm and 17×6 mm noted. BIOPSY:SPECIMEN:multiple core biopsy from supraclavicular lymph nodes for HPE IMPRESSIONS:1)Granulomatous lymphadenitis.(2)tuberculosis needs to be excluded(3)AFB stain is negative(4)consider ancillary testing with TB-PCR to exclude tb. MACROSCOPIC DESCRIPTIONS: Recieved multiple grey white to gray brown linear core bits ranging in size from 0.3 cm to 1cm in length all embedded. MICROSCOPIC FINDINGS: sections shows of linear cores of lymphoid tissue showing several discrete as well as coalescent epitheoid granuloma. Caseous necrosis is not seen.occasional granulomas shows dystropic calcification. TB-PCR:AFB/TB  tb DNA PCR:myc.tb complex(MTB):not detected.non tb mycobacteria(MOTT):Not detected.