“…The presence of this line is a sign of benignity. 4 Finally, cortical disruption is a very important sign to disclose micrometastasis in those lymph nodes in which the hilus is preserved. In our study, when one or more of the criteria for malignancy, indicated by changes in shape, hilus, and cortex, were present, the sensitivity was 84.1% (95% confidence interval: 69.9-93.0), the specificity of 84.4% (75.7-90.0), and the PPV of 67.9% (53.9-79.4), but when these criteria were applied to the lymph nodes of 10 mm or larger, the specificity raised to 88.8% (79.2-94.4) and the PPV to 75.7% (58.4-87.6).…”