Venous thrombosis. A 36-year-old male presenting with dysphagia, dysphonia, and right-sided neck pain. Coronal contrast-enhanced T1-weighted MRI scan showing a focal thrombus within the right jugular bulb and the cranial segment of the internal jugular vein, near the jugular foramen, along the course of the ninth through twelfth cranial nerves (circle), which explained the symptoms.