PMC3275944_01
Large mass covering whole right side of neck
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F1
On clinical examination, a large nontender mass was present in front of the neck extending laterally to the right sideand the back, covering the entire right side of the neck [Figure 1].
Swollen right arm with skin plethora
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F2
There was skin plethora at neck, shoulder, and upper part of chest along with a swollen right arm [Figure 2].
CT angiogram showing massive AVM
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F3
A differential diagnosis of AVM and enlarged lymph node was made and the patient was advised computed tomography (CT) angiogram, which showed a large cervical AVM with predominant supply from right subclavian and vertebral arteries [Figure 3].
Chest X-ray showing deposition of high-density material
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F4
In the intensive care unit (ICU), the chest radiograph showed tiny numerous high density materials in both lung fields especially in basal segments [Figure 4].