This postcontrast axial CT image demonstrates the separation of the right IJV and ICA by the SCSC. Tumors of the sympathetic chain usually displace the ICA and IJV together, without separating them. This postcontrast axial CT image demonstrates the separation of the right IJV and ICA by the SCSC. Tumors of the sympathetic chain usually displace the ICA and IJV together, without separating them. On imaging, it is almost impossible to distinguish the tumor in this image from a vagal schwannoma. Such a lesion may be considered as a caveat to the paradigm of Furukawa et al.16 G. Anil, and T.Y. Tan AJNR Am J Neuroradiol 2010;31:1408-1412 ©2010 by American Society of Neuroradiology