<prompt> A 31-year-old man had shrapnel wound in the neck. OE, it was noticed that when he blew his nose or sneezed, the skin above the right clavicleftbulged upward. The upward bulging of skin could be explained byInjury to the cervical pleuraDamage to the suprapleural membraneDamage to the deep fascia in the root of the neckNonunited fracture of the first rib  <response>: The suprapleural membrane, also known as Sibson fascia is a strong fascial connective tissue layer above the superior thoracic inlet on each side, placed on top of the tips of the lungs. Its damage may cause bulge out appearance. Ref ganongs review of medical physiology 25e 