Fifty-nine histologically proven cases of carcinoma of the larynx and hypopharynx were examined with CT for the staging before surgery or radioagtion therapy and the findings of primary disease and neck metastasis were analyzed. Local extension of the tumor can be easily evaluated with CT and findings of lymph node metastasis of neck were seen in 33 cases (79%) of all. Among cases of neck metastasis, peripheral contrast enhancement of the lymph nodes were demonstrated in 26 cases(79%).